Individual
MELANIE GIBBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
400 ROUNDS DR, FENTON, MI 48430-1724
(810) 629-0530
Mailing address
PO BOX 419885, BOSTON, MA 02241-9885
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000356
MI
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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