Individual
MS. GAIL D GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., S.L.P.
Contact information
Practice address
611 SCHOOL RD, EASTSOUND, WA 98245-9456
(360) 376-3080
Mailing address
PO BOX 395, ORCAS, WA 98280-0395
(360) 376-3080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117898
—
WA
Enumeration date
03/09/2007
Last updated
07/09/2007
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