Individual
SHANA RENEA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
200 N BERNARD ST, SPOKANE, WA 99201-0206
(509) 354-3322
(509) 354-3333
Mailing address
200 N BERNARD ST, SPOKANE, WA 99201-0206
(509) 354-3322
(509) 354-3333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60682997
WA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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