Doctor Name: | GAYLE SPENCER |
NPI Number: | 1174951776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | S3144 |
Business Practice Address: | 7213 S Siwell Rd Byram, MS - 392729776 |
Business Phone Number: | 6013469191 |
Business Fax Number: | 6013463044 |
Mailing Address: | 7213 S Siwell Rd, BYRAM |
State: | MS |
Postal Code: | 392729776 |
Phone Number: | 6013469191 |
Fax Number: | 6013463044 |
NPI Enumeration Date: | 10/17/2013 |
NPI Last Update Date: | 10/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |