Carolyn Ball Gibson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017986-1 Issued in NY

Practice address

1 Whitney St
Norwood, NY 13668-1406

Phone

(315) 353-2156

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1942586714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WHITNEY ST",
            "city": "NORWOOD",
            "state": "NY",
            "postal_code": "136681406",
            "telephone_number": "315-353-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHITNEY ST",
            "city": "NORWOOD",
            "state": "NY",
            "postal_code": "136681406",
            "telephone_number": "315-353-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CAROLYN",
        "middle_name": "BALL",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017986-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Butler, CCC-SLP/A
• Alicia A Charland, OTR
• Meagan Lynn Dupuis-Fregoe
• Mary Evans-Welpe
• Kristy Gardner
• Joan Gail Howlett, LICENSED CLINICAL SO
• Robert Evan Klein, D.C.
• Living Exploring All Possibilities of St. Lawrence County Inc. (Leap Inc.)
• Michael Scott Marschean, CRNA
• Holly Ann Milne-Wells, SLP

• Speech-Language Pathologist in Norwood, NY
• Providers in Norwood, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.