Individual
DIANE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, CCC-SLP
Contact information
Practice address
37 ROUTE 6A, SANDWICH, MA 02563-1801
(508) 888-8222
Mailing address
37 ROUTE 6A, SANDWICH, MA 02563-1801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9857
MA
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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