Kaitlin Marie Gabriel, M.S.

Individual provider Active NPI Speech-Language Pathologist · Taylor, PA

NPI 1093199259 · NPPES record last updated Jul 16, 2015

Key facts

NPI
1093199259
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLO12507 (PA)
Practice address
208 W Atherton St
Taylor, PA 18517-1904
Phone
(570) 909-7772
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLO12507PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLO12507 PA Yes

Addresses

Primary practice location

208 W Atherton St
Taylor, PA 18517-1904

Mailing address

208 W Atherton St
Taylor, PA 18517-1904
Phone (570) 909-7772

Other providers in Taylor, PA

All providers in Taylor, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.