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Contact Information

JESSICA E GIBSON, M.S. CCC-SLP
1600 RIVERFRONT DR
LITTLE ROCK, AR72202
 Phone: 501-663-6965
 Fax: 501-603-0675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JESSICA E GIBSON · (Female)

NPI Number 1417122649
Status Active
Credentials M.S. CCC-SLP
Entity Individual
Enumeration date 04/29/2008
Last updated 09/25/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # SP#2586
  • AR Medicaid 168616721
  • AR Other 113694335 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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