Individual
MRS. GAIL LYNN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
4555 SHOWDOW ST, COCOA, FL 32926-2807
(321) 626-7777
Mailing address
4555 SHOWDOW ST, COCOA, FL 32926-2807
(321) 626-7777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12232
FL
235Z00000X
Speech-Language Pathologist
SZ5682
FL
Other
Enumeration date
08/06/2012
Last updated
10/21/2021
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