Doctor Name: | MS. DIANA GILLESPIE |
NPI Number: | 1811138373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP1862 |
Business Practice Address: | 50 Depot Road Falmouth, ME - 04105 |
Business Phone Number: | 2077818881 |
Business Fax Number: | 2077818855 |
Mailing Address: | 50 Depot Road, FALMOUTH |
State: | ME |
Postal Code: | 04105 |
Phone Number: | 2077818881 |
Fax Number: | 2077818855 |
NPI Enumeration Date: | 03/13/2009 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |