Individual
MRS. ELIZABETH C GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
824 E SCHANTZ AVE, OAKWOOD, OH 45419-3819
(937) 689-2836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0950
OH
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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