Gibbons, Jessica Lyn

Gibbons, Jessica Lyn is an sole proprietor health care provider with primary practice located at 2937 Route 611 Unit 15 , Tannersville PA 18372-6000. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Gibbons, Jessica Lyn can be contacted via phone (570) 236-8380.

Contact Information

Primary practice address
2937 Route 611 Unit 15 Tannersville PA 18372-6000
Phone: (570) 236-8380
Fax: (570) 355-4097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1356517460
LBN Legal business name Gibbons, Jessica Lyn
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2008
Last updated Oct 11th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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