| Doctor Name: | MR. WENDELL ELLIOTT GAILLARD |
| NPI Number: | 1972665750 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. |
| License Number: | 2201 |
| Business Practice Address: | 1819 Pepperell Pkwy Suite 210 Opelika, AL - 368015475 |
| Business Phone Number: | 3347419952 |
| Business Fax Number: | |
| Mailing Address: | 2177 Jefferson St, AUBURN |
| State: | AL |
| Postal Code: | 368306601 |
| Phone Number: | 3348878222 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |