Christine Gibson, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Saucier, MS

NPI 1316275886 · NPPES record last updated Nov 21, 2009

Key facts

NPI
1316275886
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S2515 (MS)
Practice address
21525 Yankee Town Rd
Saucier, MS 39574-8238
Phone
(228) 617-0024
NPI assigned
Nov 21, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S2515MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S2515 MS Yes

Addresses

Primary practice location

21525 Yankee Town Rd
Saucier, MS 39574-8238

Mailing address

21525 Yankee Town Rd
Saucier, MS 39574-8238
Phone (228) 617-0024

Other providers in Saucier, MS

All providers in Saucier, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.