Individual
KATIE ELIZABETH TIBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
886 SHOEMAKER AVE, WEST WYOMING, PA 18644-1137
(570) 706-6375
Mailing address
886 SHOEMAKER AVE, WEST WYOMING, PA 18644-1137
(570) 706-6375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
035060-01
NY
235Z00000X
Speech-Language Pathologist
Primary
SL018087
PA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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