Individual
LUELLEN LEE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
7895 BULL RD, LEWISBERRY, PA 17339-8850
(814) 671-7757
Mailing address
7895 BULL RD, LEWISBERRY, PA 17339-8850
(814) 671-7757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011038
PA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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