| Doctor Name: | TARA GJERSTAD |
| NPI Number: | 1801184486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 002132 |
| Business Practice Address: | 540 E Jefferson St Ste 302 Iowa City, IA - 522452460 |
| Business Phone Number: | 3193393611 |
| Business Fax Number: | 3193393878 |
| Mailing Address: | 2401 Towncrest Dr, IOWA CITY |
| State: | IA |
| Postal Code: | 522406631 |
| Phone Number: | 3193542429 |
| Fax Number: | 3193546100 |
| NPI Enumeration Date: | 07/15/2011 |
| NPI Last Update Date: | 07/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 002132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| 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 |