Individual
MRS. COLLEEN BETH GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
20400 OBSERVATION DR STE 104, GERMANTOWN, MD 20876-4086
(301) 540-0445
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
(315) 331-3215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018005-1
NY
235Z00000X
Speech-Language Pathologist
11416
MD
Other
Enumeration date
08/07/2008
Last updated
01/30/2025
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