Doctor Name: | MRS. GLORIA DARLENE EIBAN |
NPI Number: | 1730317884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 2202000730 |
Business Practice Address: | Longwood Center For Communication Literacy & 102 High Street Farmville, VA - 239090001 |
Business Phone Number: | 4343952972 |
Business Fax Number: | |
Mailing Address: | Longwood Center For Communication Literacy &, 102 High Street FARMVILLE |
State: | VA |
Postal Code: | 239090001 |
Phone Number: | 4343952972 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2009 |
NPI Last Update Date: | 06/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202000730 |
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 |