Gary H Bible, PHD

Individual provider Active NPI Psychologist · Buford, GA

NPI 1598892697 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598892697
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PSY000562 (GA)
Practice address
2070 Buford Highway
Suite D
Buford, GA 30518-6099
Phone
(770) 945-6669
Fax
(770) 945-3076
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY000562GAMDPsychologist
562GAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY000562 GA Yes

Addresses

Primary practice location

2070 Buford Highway
Suite D
Buford, GA 30518-6099

Mailing address

2070 Buford Highway
Suite D
Buford, GA 30518-6099
Phone (770) 945-6669

Other providers in Buford, GA

All providers in Buford, GA · Psychologist in Georgia

Sources for this page

Verify at the official NPI Registry.