Doctor Name: | STACY GIBBS |
NPI Number: | 1023408275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | SLP.0001270 |
Business Practice Address: | 6060 East Iliff Avenue Denver, CO - 80222 |
Business Phone Number: | 3037594221 |
Business Fax Number: | |
Mailing Address: | 12219 S Oak Bluff Trail, PARKER |
State: | CO |
Postal Code: | 80134 |
Phone Number: | 3194041983 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2015 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP.0001270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |