Doctor Name: | CYNTHIA GIBSON |
NPI Number: | 1265613723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. SLP-CCC |
License Number: | SA 6414 |
Business Practice Address: | 1060 W Sr 434 Ste 108 Longwood, FL - 327504953 |
Business Phone Number: | 4072600551 |
Business Fax Number: | 4072659590 |
Mailing Address: | 1060 W Sr 434 Ste 108, LONGWOOD |
State: | FL |
Postal Code: | 327504953 |
Phone Number: | 4072600551 |
Fax Number: | 4072659590 |
NPI Enumeration Date: | 11/26/2007 |
NPI Last Update Date: | 11/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 6414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |