Doctor Name: | MRS. TERRI LYNN GILL |
NPI Number: | 1528339538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | SP-1991 |
Business Practice Address: | 620 E Water St Deshler, OH - 435161327 |
Business Phone Number: | 4192786921 |
Business Fax Number: | 4192782910 |
Mailing Address: | 90 E Back Bay Rd, BOWLING GREEN |
State: | OH |
Postal Code: | 434029228 |
Phone Number: | 4198231080 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-1991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |