MRS. Tasha L Gibson, M.S., CCC SLP L
NPI #1841312931 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1841312931
- Entity Type
- Individual
- Name
- MRS. Tasha L Gibson, M.S., CCC SLP L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC SLP L
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3612 LINCOLN HWY
- Address 2
- SUITE 2
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1627
- Phone
- (708) 283-0411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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