Todd Andrew Gibson, Ph.D, CCC-SLP
Speech-Language Pathologist, in San Antonio, TX. Individual provider (NPI-1).
NPI number1851661805
StatusActive
Last updated in NPPESJan 9, 2012
Details
- NPI
- 1851661805
- Entity type
- Individual (NPI-1)
- Name
- Todd Andrew Gibson
- Credential
- Ph.D, CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2012
- Last updated
- Jan 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 107218 | TX | Yes |
Practice location
3463 Magic Dr Ste 255San Antonio, TX 78229-2998
Phone 210-582-5840 · Fax 210-582-5841
Mailing address
3463 Magic Dr Ste 255San Antonio, TX 78229-2998
Phone 210-582-5840 · Fax 210-582-5841
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