Individual
KAITLIN MARIE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
208 W ATHERTON ST, TAYLOR, PA 18517-1904
(570) 909-7772
Mailing address
208 W ATHERTON ST, TAYLOR, PA 18517-1904
(570) 909-7772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLO12507
PA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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