IndividualActive
Gibson Condie, PH.D.
NPI 1750478376 · Clinical Child & Adolescent Psychologist · Powell, WY
Provider details
- NPI number
- 1750478376
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- SP03 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1054 Vali Road
Powell, WY 82435
Phone: (307) 754-3860
Fax: (307) 754-0920
Approximate (ZIP-level) locationGet directions
Mailing address
1054 Vali Road
Powell, WY 82435
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.