Gabrielle Laux

Individual provider Active NPI Speech-Language Pathologist · Bolivar, OH

NPI 1124484548 · NPPES record last updated Jan 14, 2016

Key facts

NPI
1124484548
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP. 11573 (OH)
Practice address
8404 French Hill Rd NW
Bolivar, OH 44612-8413
Phone
(330) 635-7798
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP. 11573OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP. 11573 OH Yes

Addresses

Primary practice location

8404 French Hill Rd NW
Bolivar, OH 44612-8413

Mailing address

8404 French Hill Rd NW
Bolivar, OH 44612-8413
Phone (330) 635-7798

Other providers in Bolivar, OH

All providers in Bolivar, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.