MEDICARE: MISS AMY F GABEL 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	SLP9046	AZ

General Provider Information

NPI Number	:	1922401991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AMY F GABEL SLP

Provider Business Mailing Address
First Line	:	6901 E CHAUNCEY LN APT 3085
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85054-5141
Country	:	US
Telephone Number	:	480-694-4182
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 E CHAUNCEY LN APT 3085
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85054-5141
Country	:	US
Telephone Number	:	480-694-4182
Fax Number	:

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

Provider Enumeration Date	:	10/03/2014
Last Update Date	:	10/18/2020

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