| NPI | 1831422112 |
|---|---|
| Doing Business As | KATHERINE W. GIBSON, MA, CCC-SLP |
| Entity Type | Organization |
| Authorized Contact | KATHERINE WOODY GIBSON President 904-254-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 5525) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |