Doctor Name: | MISS KATIE MORGAN GIBBONS |
NPI Number: | 1003044926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | TSLP5990 |
Business Practice Address: | 1585 Military Tpke Plattsburgh, NY - 129017457 |
Business Phone Number: | 5185610100 |
Business Fax Number: | |
Mailing Address: | 27 Leonard Ave, PLATTSBURGH |
State: | NY |
Postal Code: | 12901 |
Phone Number: | 5185721538 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP5990 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |