MEDICARE: JOANNA JUDY GILBERT

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	01379	MD

General Provider Information

NPI Number	:	1740750223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA JUDY GILBERT

Provider Business Mailing Address
First Line	:	2644 RIVA RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7427
Country	:	US
Telephone Number	:	410-222-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 ANNAPOLIS RD
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1099
Country	:	US
Telephone Number	:	410-672-3700
Fax Number	:

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

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	11/28/2018

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Directions to “ JOANNA JUDY GILBERT ” Practice Location

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