Individual
MRS. ELLEN LOUISE GEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4748 BUNKER RD, MASON, MI 48854-9781
(517) 628-3813
Mailing address
4748 BUNKER RD, MASON, MI 48854-9781
(517) 628-3813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01006145
ASHA
—
Enumeration date
07/08/2010
Last updated
07/08/2010
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