| Doctor Name: | MS. SANDRA LYNN GILBREATH-FLORES |
| NPI Number: | 1811174642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 17432 |
| Business Practice Address: | 1117 Fm 777 Jasper, TX - 75951 |
| Business Phone Number: | 4093845400 |
| Business Fax Number: | 4093842606 |
| Mailing Address: | Po Box 1317, JASPER |
| State: | TX |
| Postal Code: | 759510040 |
| Phone Number: | 4093845400 |
| Fax Number: | 4093842606 |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 17432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |