MEDICARE: MRS. GALE LYNN SEAL M.A., CCC/SLP

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	22001808	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730347626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GALE LYNN SEAL M.A., CCC/SLP

Provider Business Mailing Address
First Line	:	14689 E 256TH ST
Second Line	:
City	:	ARCADIA
State	:	IN
Zip	:	46030-9401
Country	:	US
Telephone Number	:	317-691-2619
Fax Number	:

Provider Business Practice Location Address
First Line	:	14689 E 256TH ST
Second Line	:
City	:	ARCADIA
State	:	IN
Zip	:	46030-9401
Country	:	US
Telephone Number	:	317-691-2619
Fax Number	:

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

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	05/28/2008

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