Individual
MS. GAYLE RENEE COMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
111 PIEDMONT AVE, GIBSONVILLE, NC 27249-2450
(336) 449-4055
(336) 449-7368
Mailing address
6724 STALEY LAKE RD, LIBERTY, NC 27298-9137
(336) 685-9782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24015
BCBS
NC
05
—
3403407
—
NC
Enumeration date
03/23/2007
Last updated
07/08/2007
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