Individual
GAYLYN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 MERLE HAY RD, DES MOINES, IA 50322-1983
(515) 331-3190
(515) 331-3191
Mailing address
4725 MERLE HAY RD, 107, DES MOINES, IA 50322-1983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
074689
IA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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