Provider Demographics
NPI:1215613864
Name:GIBBS, ALYSON CAREY
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:CAREY
Last Name:GIBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 NEW STATE HWY STE 5
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5455
Mailing Address - Country:US
Mailing Address - Phone:508-944-9502
Mailing Address - Fax:
Practice Address - Street 1:534 NEW STATE HWY STE 5
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5455
Practice Address - Country:US
Practice Address - Phone:508-944-9502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator