MEDICARE: ADRIENNE NICOLE GAY MS, 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	12225	NC

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

General Provider Information

NPI Number	:	1629300900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE NICOLE GAY MS, CCC-SLP

Provider Business Mailing Address
First Line	:	9452 WILLOW TREE LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4693
Country	:	US
Telephone Number	:	850-545-8456
Fax Number	:

Provider Business Practice Location Address
First Line	:	9452 WILLOW TREE LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277
Country	:	US
Telephone Number	:	850-545-8456
Fax Number	:

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

Provider Enumeration Date	:	02/11/2010
Last Update Date	:	03/18/2026

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Directions to “ ADRIENNE NICOLE GAY MS, CCC-SLP” Practice Location

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