Raegen S Gibson, M.S., CCC-SLP

NPI #1194468363 in Pryor, Oklahoma

Provider Information

NPI Number
1194468363
Entity Type
Individual
Name
Raegen S Gibson, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Apr 15, 2022
Last Updated
Jul 20, 2023

Practice Location

Address
2790 OLD HIGHWAY 20 E
City
Pryor
ZIP Code
74361-2954
Phone
(918) 864-1099

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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