Individual
JESSICA SHIRLRAE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13-017
KY
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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