Provider Demographics
NPI:1558571844
Name:GILBERT, JENNIFER ANNE (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANNE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 E 21ST ST STE 160
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1766
Mailing Address - Country:US
Mailing Address - Phone:918-744-0440
Mailing Address - Fax:405-842-1852
Practice Address - Street 1:2424 E 21ST ST STE 160
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1766
Practice Address - Country:US
Practice Address - Phone:918-744-0440
Practice Address - Fax:918-743-2191
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK270231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist