| Doctor Name: | DR. HEATHER L GILLUM |
| NPI Number: | 1396775490 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 2065 |
| Business Practice Address: | 1304 Beechwood Ave. Nashville, TN - 37212 |
| Business Phone Number: | 6154737596 |
| Business Fax Number: | 2038374993 |
| Mailing Address: | P.o. Box 41042, NASHVILLE |
| State: | TN |
| Postal Code: | 37204 |
| Phone Number: | 6154737596 |
| Fax Number: | 2038374993 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |