Most Relevant Information
Provider Data
NPI Number: | 1003051186 |
Provider Name: | JANET M GIBBONS SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 003783-1 |
Most Important Dates
Enumeration Date: | 12/03/2008 |
Last Updated: | 12/03/2008 |
Provider Practice Location
171 INTREPID LN
SYRACUSE
NY
132052548
Practice Location Phone/Fax
Phone: | 3154374689 |
Fax: | 3154374698 |
Provider Mailing Location
171 INTREPID LN
SYRACUSE
NY
132052548
Provider Mailing Phone/Fax
Phone: | 3154374689 |
Fax: | 3154374698 |