Individual
RAEGEN S GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2790 OLD HIGHWAY 20 E, PRYOR, OK 74361-2954
(918) 864-1099
Mailing address
2790 OLD HIGHWAY 20 E, PRYOR, OK 74361-2954
(918) 864-1099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5731
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14296746
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
—
01
—
5731
OKLAHOMA STATE LICENSE
OK
Enumeration date
04/15/2022
Last updated
07/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us