Provider Demographics
NPI:1578832762
Name:GIBBES, FLORENCE W (SPEECH THERAPIST)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:W
Last Name:GIBBES
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 ROOKERY WAY
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2569
Mailing Address - Country:US
Mailing Address - Phone:843-681-3934
Mailing Address - Fax:843-384-1048
Practice Address - Street 1:38 ROOKERY WAY
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2569
Practice Address - Country:US
Practice Address - Phone:843-681-3934
Practice Address - Fax:843-384-1048
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist