NPIMap

Gibson Pediatric Speech Services

Organization Active NPI Speech-Language Pathologist · Gridley, IL

NPI 1306530845 · NPPES record last updated Jun 13, 2023

Key facts

NPI
1306530845
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
GIBSON PEDIATRIC SPEECH SERVICES
Practice address
106 E 7TH St
Gridley, IL 61744-9241
Phone
(309) 220-8030
NPI assigned
Jun 7, 2023
Organization subpart
No

Authorized official

Name
Melissa Gibson, CCC-SLP/L NPI 1851067979
Title
Sole Proprietor
Phone
(309) 220-8030

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP		 235Z00000X Yes

Addresses

Primary practice location

106 E 7TH St
Gridley, IL 61744-9241

Mailing address

106 E 7TH St
Gridley, IL 61744-9241
Phone (309) 220-8030

Other names

  • Gibson Pediatric Speech Services Doing business as

Other providers in Gridley, IL

All providers in Gridley, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.