Laurene Susan Gabriel, M.S.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Drums, PA
NPI 1962627166 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1962627166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL006050L (PA)
- Practice address
- 773 Saint Johns Rd
Drums, PA 18222-1803 - Phone
- (570) 788-8320
- Fax
- (570) 788-8321
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| SL006050L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Years Intervention Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| LG Intervention Specialists, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL006050L | PA | Yes |
Addresses
Primary practice location
773 Saint Johns Rd
Drums, PA 18222-1803
Mailing address
773 Saint Johns Rd
Drums, PA 18222-1803
Phone (570) 788-8320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019296840003 | Medicaid | PA |
Other providers in Drums, PA
- Drums Rehabilitation Associates, PLLC
- Early Years Intervention Services, Inc.
- Sarah Mae Eisenman
- Aimee Leah Fay
- Cruz Finnicum
- Rosina M Generose
- Maureen Ann Givnin-Haas
- Greenridge Leasing Partnership
- Stephanie Hill
- Melissa Marie Kalinchok
All providers in Drums, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.