Doctor Name: | KAREN A GIBSON |
NPI Number: | 1467540799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 938 |
Business Practice Address: | 2229 5th Ave East Wing Suite 208 Havre, MT - 595015217 |
Business Phone Number: | 4069451328 |
Business Fax Number: | 4062652670 |
Mailing Address: | 21343 Base Rd, HAVRE |
State: | MT |
Postal Code: | 595018062 |
Phone Number: | 4063942264 |
Fax Number: | 4062652670 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |