Provider Demographics
NPI:1316237464
Name:GIBBS, SARAHBETH
Entity type:Individual
Prefix:
First Name:SARAHBETH
Middle Name:
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 1:331 PRESTON AVE
Mailing Address - Street 2:1706
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1756
Mailing Address - Country:US
Mailing Address - Phone:610-730-2522
Mailing Address - Fax:
Practice Address - Street 1:720 WOODLANE RD
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-9615
Practice Address - Country:US
Practice Address - Phone:856-428-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health