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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER GIBSON SMITH, MS CCC-SLP

Active Sole Proprietor

MRS. JENNIFER GIBSON SMITH, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MONTICELLO, Illinois. NPI 1083798219 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MONTICELLO, IL

Registration Details

NPI Number
1083798219
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2006 (19.799702697405 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
17 SAND LAKE RD
MONTICELLO, IL, 618568074
Browse IL providers · Browse ZIP 61856
Phone
2177629410
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MONTICELLO, IL

Name Credential NPI
KATHLEEN FAIR M.S. 1992970198
JACQUELINE MARIE TISH 1457733354
RACHEL CALDWELL CCC-SLP 1700433869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.