Individual
ALYSSA BETH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
350 S OAK HARBOR ST, OAK HARBOR, WA 98277-5137
(360) 279-5009
Mailing address
1624 SW STREMLER DR, OAK HARBOR, WA 98277-7175
(781) 264-5163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14263554
ASHA
—
01
—
LL61230242
WA STATE SLP LICENSE
WA
Enumeration date
02/01/2023
Last updated
02/01/2023
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