Doctor Name: | MS. CHERYL GIPSON |
NPI Number: | 1003834730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP/L |
License Number: | 146007709 |
Business Practice Address: | 548 Church St Cameron, IL - 614230156 |
Business Phone Number: | 3093337954 |
Business Fax Number: | |
Mailing Address: | 548 Church St, CAMERON |
State: | IL |
Postal Code: | 614230156 |
Phone Number: | 3093337954 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 06/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146007709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |