Doctor Name: | DR. MARK M GUIBERSON |
NPI Number: | 1669666897 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 12009231 |
Business Practice Address: | Unc Speech And Audiology Clinic Gunter Hall Room 0330 Greeley, CO - 80639 |
Business Phone Number: | 9703512012 |
Business Fax Number: | |
Mailing Address: | 1631 Remington St, FORT COLLINS |
State: | CO |
Postal Code: | 805251358 |
Phone Number: | 9702186433 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2007 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12009231 |
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 |