Doctor Name: | ANGELA VERONICA GIFT |
NPI Number: | 1619206943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 4245 |
Business Practice Address: | 303 E 2nd St Ste A West Jefferson, NC - 286948905 |
Business Phone Number: | 8284060369 |
Business Fax Number: | |
Mailing Address: | 2690 W Mill Creek Rd, WARRENSVILLE |
State: | NC |
Postal Code: | 286939530 |
Phone Number: | 8284060369 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2009 |
NPI Last Update Date: | 03/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4245 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |