Active NPIIndividual providerSole proprietor

Jessica Gibbons, CCC/SLP

Speech-Language Pathologist, in Milton, Massachusetts

NPI Number1578153250
Practice location
194 Lyman RD, Milton, MA 02186-4622
Fax
800-309-9327
Last updated
January 26, 2021

Jessica Gibbons is a Speech-Language Pathologist, based in Milton, MA. Jessica Gibbons practices in Milton, MA and has the professional credentials of CCC/SLP. The NPI Number for Jessica Gibbons is 1578153250 and holds a License No. 6008 (MA). The current practice location address for Jessica Gibbons is 194 Lyman RD, Milton, MA 02186-4622 and can be reached out via phone at 781-820-4610 and via fax at 800-309-9327.

Provider Profile Details

NPI Number
1578153250
Provider Name
Jessica Gibbons
Credential
CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
194 Lyman RD, Milton, MA 02186-4622
Phone Number
781-820-4610
Fax Number
800-309-9327
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2021
Last Update Date
January 26, 2021
Certification Date
January 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 Lyman RD
Milton, MA 02186-4622
City
Milton
Zip
02186-4622
Phone Number
781-820-4610
Fax Number
800-309-9327
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
194 Lyman RD
Milton, MA 02186-4622
City
Milton
State
MA
Zip
02186-4622
Phone Number
781-820-4610
Fax Number
800-309-9327

License Information

License Number
6008
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Gibbons, CCC/SLP?

The NPI number of Jessica Gibbons, CCC/SLP is 1578153250. It was assigned on January 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica Gibbons, CCC/SLP?

Jessica Gibbons, CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6008.

Where does Jessica Gibbons, CCC/SLP practice?

The practice location is 194 Lyman RD, Milton, MA 02186-4622. The office can be reached at 781-820-4610 (phone) or 800-309-9327 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578153250 directly on the NPPES registry website.

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