Individual
THERESA GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3301 GRANDVIEW DRIVE, RAPID CITY, SD 57701
(605) 394-1829
(605) 394-5831
Mailing address
300 6TH STREET, RAPID CITY, SD 57701
(605) 394-1829
(605) 394-5831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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