Individual
ELIZABETH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4402 RIDGE RD, COLUMBUS, MS 39705-2835
(585) 737-2851
Mailing address
4402 RIDGE RD, COLUMBUS, MS 39705-2835
(585) 737-2851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034360-01
NY
235Z00000X
Speech-Language Pathologist
S-5290
MS
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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