Provider Demographics
NPI:1003512963
Name:GUNSBURG, LIBBY (MA CF-SLP)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:
Last Name:GUNSBURG
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 E 14TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5926
Mailing Address - Country:US
Mailing Address - Phone:973-524-4773
Mailing Address - Fax:
Practice Address - Street 1:2884 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1887
Practice Address - Country:US
Practice Address - Phone:718-951-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist