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SAMANTHA B GIBSON MA
NPI 1144759994
Counselor - Professional in Havertown, PA

Active since June 06, 2017
1624 COLONY LN, HAVERTOWN, PA 19083(610) 763-7340 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About Samantha B Gibson Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA B GIBSON MA (NPI 1144759994) is an individual professional provider in Havertown, Pennsylvania, licensed in Pennsylvania (PC008325) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1144759994
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA B GIBSONCredential: MA
Location Address1624 COLONY LNHavertown, PA 19083-2502
Mailing Address1624 Colony LnHavertown, PA 19083-2502 · (610) 763-7340
Phone(610) 763-7340
Sole ProprietorNo
Enumeration DateJune 6, 2017
Last NPPES UpdateAugust 31, 20222 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1144759994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC008325
1624 COLONY LN, Havertown, PA 19083
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Other Identifiers 1

OtherPC008325PA · Common Wealth Of Pennsylvania Occupational License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Gibson's NPI number?

The NPI number for Samantha Gibson is 1144759994. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Samantha Gibson located?

Samantha Gibson practices at 1624 Colony Ln, Havertown, PA 19083. The listed phone number is (610) 763-7340.

What is Samantha Gibson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Samantha Gibson was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.