Doctor Name: | MRS. KELLY RENEE GILBERT |
NPI Number: | 1720451339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | 7101002129 |
Business Practice Address: | 5409 Gateway Ctr Flint, MI - 485073992 |
Business Phone Number: | 8104243201 |
Business Fax Number: | |
Mailing Address: | 5409 Gateway Ctr, FLINT |
State: | MI |
Postal Code: | 485073992 |
Phone Number: | 8104243201 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101002129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |