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Contact Information

STACY L GILDEA, M.A. CCC-SLP
7911 S 7TH ST
KALAMAZOO, MI49009
 Phone: 269-743-7394
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for STACY L GILDEA · (Female)

NPI Number 1003237983
Status Active
Credentials M.A. CCC-SLP
Entity Individual
Enumeration date 12/19/2013
Last updated 12/19/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # L2541743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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