Doctor Name: | MRS. LESLIE EVERS GAUGHRAN |
NPI Number: | 1780648808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | SA7297 |
Business Practice Address: | 360 S Waverly Place #6a Vero Beach, FL - 32960 |
Business Phone Number: | 7725324780 |
Business Fax Number: | 7725634935 |
Mailing Address: | 360 S Waverly Place, #6a VERO BEACH |
State: | FL |
Postal Code: | 32960 |
Phone Number: | 7725324780 |
Fax Number: | 7725634935 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |