Individual
REBECCA GILLILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
4080 N JULIANO RD, LAS VEGAS, NV 89129-0401
(702) 883-9401
Mailing address
4080 N JULIANO RD, LAS VEGAS, NV 89129-0401
(702) 883-9401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NV
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
1640
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1640
CNIM
—
Enumeration date
12/17/2007
Last updated
03/16/2026
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