Doctor Name: | MRS. MARY LANG GEBEL |
NPI Number: | 1326119645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | 005579 |
Business Practice Address: | 129 Parkway Dr. Thomasville, GA - 31792 |
Business Phone Number: | 4042810920 |
Business Fax Number: | 2292360519 |
Mailing Address: | 129 Parkway Dr., THOMASVILLE |
State: | GA |
Postal Code: | 31792 |
Phone Number: | 4042810920 |
Fax Number: | 2292360519 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 005579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |