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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
0430OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fostoria City Schools Past
since Mar 17, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
043992MedicaidOH

Other providers in Fostoria, OH

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

Sources for this page

Verify at the official NPI Registry.