Leslie A. Gibson, Ph.D.

Psychologist, Clinical in Ardsley, NY. Individual provider (NPI-1).

NPI number1043435720

StatusActive

Last updated in NPPESJun 4, 2021

Details

NPI: 1043435720
Entity type: Individual (NPI-1)
Name: Leslie A. Gibson
Credential: Ph.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Apr 16, 2007
Certification date: Jun 4, 2021
Last updated: Jun 4, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	014201-1	NY	Yes
103TC2200X	Psychologist, Clinical Child & Adolescent	014201-1	NY

Practice location

547 Saw Mill River Rd Ste 1f1
Ardsley, NY 10502-2143

Phone 914-478-2128

Mailing address

547 Saw Mill River Rd Ste 1f1
Ardsley, NY 10502-2143

Phone 914-478-2128

Is something wrong?

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Other Clinical Psychologist providers in Ardsley, NY

All 11 Clinical Psychologist providers in Ardsley · All 364 providers in Ardsley

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