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NPI Code Detail

MEDICARE: GABRIELA PINEROS M.A., CCC-SLP

MEDICARE: GABRIELA PINEROS 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
1235Z00000XSpeech-Language Pathologist6473OK

General Provider Information

NPI Number : 1134014491
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA PINEROS M.A., CCC-SLP
Provider Business Mailing Address
First Line : 1512 NW 13TH PL
Second Line :
City : MOORE
State : OK
Zip : 73170-8200
Country : US
Telephone Number : 405-802-0885
Fax Number : 405-931-0022
Provider Business Practice Location Address
First Line : 8524 S WESTERN AVE STE 113
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-9248
Country : US
Telephone Number : 405-221-8595
Fax Number : 405-931-0022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/09/2025

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Directions to “ GABRIELA PINEROS M.A., CCC-SLP” Practice Location

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