Individual
COURTNEY L GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
126 W FREMONT ST, BURGAW, NC 28425
(910) 663-5450
(844) 803-6048
Mailing address
126 W. FREMONT STREET, BURGAW, NC 28425
(910) 663-5450
(844) 803-6048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9958
NC
Other
Enumeration date
06/04/2012
Last updated
09/02/2016
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