Doctor Name: | HOLLI GILL |
NPI Number: | 1366674871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 104505 |
Business Practice Address: | 4801 Troup Hwy Suite 800 Tyler, TX - 757032356 |
Business Phone Number: | 9039392800 |
Business Fax Number: | |
Mailing Address: | 4055 Hogan Dr, Apt#3504 TYLER |
State: | TX |
Postal Code: | 757096930 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/17/2009 |
NPI Last Update Date: | 08/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |