Doctor Name: | MRS. BARBARA CONROY GAISER |
NPI Number: | 1104054956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC, SLP |
License Number: | SA 1428 |
Business Practice Address: | 1650 Medical Lane Suite #1 Ft Myers, FL - 339071116 |
Business Phone Number: | 2392779818 |
Business Fax Number: | |
Mailing Address: | 15241 Sam Snead Lane, N. FT MYERS |
State: | FL |
Postal Code: | 33917 |
Phone Number: | 2397316000 |
Fax Number: | 2397316000 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 06/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 1428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |