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Tasheka D Gipson

Speech-Language Pathologist, in Montgomery, AL. Individual provider (NPI-1).

NPI number1265624977
StatusActive
Last updated in NPPESMay 4, 2016

Details

NPI
1265624977
Entity type
Individual (NPI-1)
Name
Ms. Tasheka D Gipson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2007
Last updated
May 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP007650GAYes
235Z00000X Speech-Language Pathologist,21359CA

Practice location

712 Southlawn Dr
Montgomery, AL 36108-5371

Phone 786-797-0090

Mailing address

712 Southlawn Dr
Montgomery, AL 36108-5371

Phone 786-797-0090

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