=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336374230
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MOLLY P GILBERT M.A., CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2009
-----------------------------------------------------
Last Update Date | 10/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6977 PROFESSIONAL PARKWAY EAST
-----------------------------------------------------
City | LAKEWOOD RANCH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-758-3140
-----------------------------------------------------
Fax | 941-702-9988
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15436 27TH CT E
-----------------------------------------------------
City | PARRISH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34219-1841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 260-249-5797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 22004505A
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 12127775
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------