Individual
MS. TASHEKA D GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 SOUTHLAWN DR, MONTGOMERY, AL 36108-5371
(786) 797-0090
Mailing address
712 SOUTHLAWN DR, MONTGOMERY, AL 36108-5371
(786) 797-0090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
21359
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP007650
GA
Other
Enumeration date
08/16/2007
Last updated
05/04/2016
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