Healthcare Provider Details

I. General information

NPI: 1114192606
Provider Name (Legal Business Name): HARRIET GILMAN MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 N WESTMORELAND RD BLDG F
DALLAS TX
75211-1655
US

IV. Provider business mailing address

1380 RIVER BEND DR
DALLAS TX
75247-4914
US

V. Phone/Fax

Practice location:
  • Phone: 214-331-0109
  • Fax: 214-333-7097
Mailing address:
  • Phone: 214-743-6159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number102824
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: