Gabrielle Eberle, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Duncan, SC
NPI 1659015808 · NPPES record last updated Apr 25, 2022
Key facts
- NPI
- 1659015808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14306035 (SC)
- Practice address
- 238 Santa Ana Way
Duncan, SC 29334-8102 - Phone
- (631) 495-6084
- NPI assigned
- Apr 25, 2022
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14306035 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Upstate Speech Studio | Speech-Language Pathologist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14306035 | SC | Yes |
Addresses
Primary practice location
238 Santa Ana Way
Duncan, SC 29334-8102
Mailing address
238 Santa Ana Way
Duncan, SC 29334-8102
Phone (631) 495-6084
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All providers in Duncan, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2022. 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.