Gabrielle Faithfull, MS., CCC-SLP TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

001922 Issued in NY

Practice address

14 Flowerfield Rd
Sound Beach, NY 11789-1811

Phone

(631) 744-2675

Fax

(631) 744-2675

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811036452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FLOWERFIELD RD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117891811",
            "telephone_number": "631-744-2675",
            "fax_number": "631-744-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FLOWERFIELD RD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117891811",
            "telephone_number": "631-744-2675",
            "fax_number": "631-744-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAITHFULL",
        "first_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "MS., CCC-SLP TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "001922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Sound Beach, NY
• Providers in Sound Beach, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.