Carla Jean Gignilliat in Tucker - Speech-language Pathologist
Carla Jean Gignilliat - NPI 1700084902
Carla Jean Gignilliat is a Speech-language Pathologist in Tucker, Georgia. Carla Jean Gignilliat practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Carla Jean Gignilliat is 1700084902. The last update date is 2011-05-12.
Carla Jean Gignilliat's current location address is 1967 Lakeside Pkwy, Tucker, Georgia. You can contact this provider via phone number 7704140055. The mailing address for Carla Jean Gignilliat is 1967 Lakeside Pkwy, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Jean Gignilliat |
|---|---|
| Address | 1967 Lakeside Pkwy, Tucker, Georgia |
| Phone Number | 7704140055 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA, CCC-SL |
NPI Number Detail
| NPI Number | 1700084902 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2011-05-12 |
Provider Mailing Address Detail
| Address | 1967 Lakeside Pkwy |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300845867 |
| Phone Number | 7704140055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP005592 |
|
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 331791073B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carla Jean Gignilliat by the Centers for Medicare & Medicaid Services?
The Carla Jean Gignilliat has been issued the NPI (National Provider Identifier) 1700084902, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carla Jean Gignilliat is physically located?
The Carla Jean Gignilliat is physically situated at the following address: 1967 Lakeside Pkwy, Tucker, GA, 300845867.
What is Carla Jean Gignilliat's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carla Jean Gignilliat's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
When did Carla Jean Gignilliat receive its 1700084902 assignment?
The Carla Jean Gignilliat was assigned its 1700084902 on 2007-07-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Carla Jean Gignilliat most recently updated or revised?
The information pertaining to Carla Jean Gignilliat, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-12.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL