Gayle D Guernsey
Individual provider Active NPI Speech-Language Pathologist · Fostoria, OH
NPI 1235536772 · NPPES record last updated Nov 26, 2014
Key facts
- NPI
- 1235536772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0430 (OH)
- Practice address
- 1001 Park Ave
Fostoria, OH 44830-1455 - Phone
- (419) 435-8163
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fostoria City Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0430 | OH | Yes |
Addresses
Primary practice location
1001 Park Ave
Fostoria, OH 44830-1455
Mailing address
1001 Park Ave
Fostoria, OH 44830-1455
Phone (419) 435-8163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043992 | Medicaid | OH |
Other providers in Fostoria, OH
- Julienne Elizabeth Garlock
- Good Shepherd Home
- Good Shepherd Home
- Good Shepherd Home
- Tonia Marie Groves
- Thomas C Guernsey
- Robert Charles Hadacek
- Leslie Halbisen
- Johanna Harris
- HCF of Fostoria, Inc.
All providers in Fostoria, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.