Karen A Gibson, MS CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Havre, MT
NPI 1467540799 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1467540799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 938 (MT)
- Practice address
- 2229 5TH Ave
East Wing Suite 208
Havre, MT 59501-5217 - Phone
- (406) 945-1328
- Fax
- (406) 265-2670
- NPI assigned
- Oct 11, 2006
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 938 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 938 | MT | Yes |
Addresses
Primary practice location
2229 5TH Ave
East Wing Suite 208
Havre, MT 59501-5217
Mailing address
21343 Base Rd
Havre, MT 59501-8062
Phone (406) 394-2264
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0532559 | Medicaid | MT |
Other providers in Havre, MT
- Gary and Leos Inc
- Misty Geer
- Gibson Chiropractic, Inc.
- Donald Joshua Gibson
- Hugo Michael Gibson
- Shalee Nicole Gingery
- Patricia Greene Hall
- John Gary Grow
- Angelique Marie Haas
- Sabrina L Hamilton
All providers in Havre, 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 Jul 9, 2007. 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.