Doctor Name: | JOELLEN GILBERT |
NPI Number: | 1235460502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | SA4505 |
Business Practice Address: | 580 W 8th St Tower 1,4th Fl., Room 4509 Jacksonville, FL - 322096533 |
Business Phone Number: | 9042449057 |
Business Fax Number: | 9042449616 |
Mailing Address: | 580 W 8th St, Tower 1,4th Fl., Room 4509 JACKSONVILLE |
State: | FL |
Postal Code: | 322096533 |
Phone Number: | 9042449057 |
Fax Number: | 9042449616 |
NPI Enumeration Date: | 01/26/2010 |
NPI Last Update Date: | 01/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA4505 |
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 |