Individual
MRS. GAYLAN CILLO PETURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Mailing address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2554
AL
Other
Enumeration date
05/06/2010
Last updated
08/20/2015
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