Individual
BRENDA GILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1809 W LOOP 281, STE100 PMB153, LONGVIEW, TX 75604-2571
(972) 935-4752
Mailing address
1809 W LOOP 281, STE100 PMB153, LONGVIEW, TX 75604-2571
(972) 935-4752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111703
TX
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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