| Doctor Name: | SHANA GAMBLE |
| NPI Number: | 1043302441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP |
| License Number: | 015781-1 |
| Business Practice Address: | 435 Glenwood Rd Binghamton, NY - 139051606 |
| Business Phone Number: | 6977363300 |
| Business Fax Number: | |
| Mailing Address: | 104 Taylor Ave, ENDICOTT |
| State: | NY |
| Postal Code: | 137603125 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 015781-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |