Alexis Carol Molineux-Gibbons, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Helena, MT
NPI 1396916664 · NPPES record last updated Jun 23, 2016
Key facts
- NPI
- 1396916664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-SP-LIC-4905 (MT)
- Practice address
- 3945 Yuhas Ave
Helena, MT 59602-7463 - Phone
- (406) 461-9464
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-LIC-4905 | MT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-4905 | MT | Yes |
Addresses
Primary practice location
3945 Yuhas Ave
Helena, MT 59602-7463
Mailing address
3945 Yuhas Ave
Helena, MT 59602-7463
Phone (406) 461-9464
Other providers in Helena, MT
- Kenneth Cooper Mitchell
- Jen Acacia Mittelstadt
- Owen William Moeggenberg
- Christine Mohl
- Jackie F Mohler
- Mary Anne Molineux
- Michael Christopher Mondloch
- Summer Elizabeth Monforte
- Jessica E Mongelli
- Montana Behavior Collaborative, PLLC
All providers in Helena, MT · Speech-Language Pathologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.