Doctor Name: | JANEE ROGERS GIBBS |
NPI Number: | 1790063188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD,SLP,CF |
License Number: | 6462 |
Business Practice Address: | 104 W 134th St Cut Off, LA - 703454155 |
Business Phone Number: | 9856327919 |
Business Fax Number: | 9856323581 |
Mailing Address: | 160 Winchester Way, LOCKPORT |
State: | LA |
Postal Code: | 703744322 |
Phone Number: | 9856327919 |
Fax Number: | 9856323581 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |