Organization
GIBSON PEDIATRIC SPEECH SERVICES
Active
Other names
Gibson Pediatric Speech Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GIBSON CCC-SLP/L (SOLE PROPRIETOR)
(309) 220-8030
Entity
Organization
Contact information
Practice address
106 E 7TH ST, GRIDLEY, IL 61744-9241
(309) 220-8030
Mailing address
106 E 7TH ST, GRIDLEY, IL 61744-9241
(309) 220-8030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/13/2023
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