Individual
DR. SUSAN MUMBY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A/SLP
Contact information
Practice address
243 CHARLES ST, DEPARTMENT OF AUDIOLOGY, BOSTON, MA 02114-3002
(617) 573-3266
(617) 573-3023
Mailing address
243 CHARLES ST, DEPARTMENT OF AUDIOLOGY, BOSTON, MA 02114-3002
(617) 573-3266
(617) 573-3023
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
870
MA
235Z00000X
Speech-Language Pathologist
7170
MA
Other
Enumeration date
08/10/2007
Last updated
12/15/2008
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