MEDICARE: ABBYE GULVAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1063071512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBYE GULVAS

Provider Business Mailing Address
First Line	:	4061 WORTH RD
Second Line	:
City	:	PINCONNING
State	:	MI
Zip	:	48650-8316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4061 WORTH RD
Second Line	:
City	:	PINCONNING
State	:	MI
Zip	:	48650-8316
Country	:	US
Telephone Number	:	989-313-2581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2019
Last Update Date	:	06/09/2019

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Directions to “ ABBYE GULVAS ” Practice Location

Language	Start Address	Practice Location

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