Doctor Name: | MS. IVONNE TERESA GIBERT |
NPI Number: | 1295940112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. S. |
License Number: | 2202000848 |
Business Practice Address: | 7045 Soulier Ln Fredericksburg, VA - 224076409 |
Business Phone Number: | 5407859240 |
Business Fax Number: | |
Mailing Address: | 7045 Soulier Ln, FREDERICKSBURG |
State: | VA |
Postal Code: | 224076409 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202000848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |