Individual
GALE EGENDOERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Mailing address
5500 MURRELL RD STE 100, MELBOURNE, FL 32940-6700
(321) 426-7759
(321) 593-0839
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27-636
FL
2355S0801X
Speech-Language Assistant
S13248
FL
Other
Enumeration date
10/27/2016
Last updated
10/06/2022
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