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NPI Code Detail

MEDICARE: GILLIAN CISCELL

MEDICARE:   GILLIAN  CISCELL
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
1235Z00000XSpeech-Language Pathologist46004839AIN

General Provider Information

NPI Number : 1851179949
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILLIAN CISCELL
Provider Business Mailing Address
First Line : 2600 GREENBUSH ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2477
Country : US
Telephone Number : 765-448-8000
Fax Number :
Provider Business Practice Location Address
First Line : 2600 GREENBUSH ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2477
Country : US
Telephone Number : 765-448-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 06/04/2026

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Directions to “ GILLIAN CISCELL ” Practice Location

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