Individual
DR. CYNTHIA ANN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
12430 TESSON FERRY RD, SUITE 352, SAINT LOUIS, MO 63128-2702
(800) 495-5437
Mailing address
4318 CANYONSIDE LN, SAINT LOUIS, MO 63128-3726
(314) 416-1680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01906
PROFESSIONAL REGISTRATION
MO
Enumeration date
03/07/2007
Last updated
07/09/2007
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