Doctor Name: | MS. CARLA MACGIBBON |
NPI Number: | 1477604866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 4882 |
Business Practice Address: | 57 Highland Ave Salem, MA - 019702141 |
Business Phone Number: | 9783542650 |
Business Fax Number: | |
Mailing Address: | 27 Sweetser St, WAKEFIELD |
State: | MA |
Postal Code: | 018801816 |
Phone Number: | 7812460721 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |