Most Relevant Information
Provider Data
| NPI Number: | 1003237983 |
| Provider Name: | STACY LYNETTE GILDEA M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | L2541743 |
Most Important Dates
| Enumeration Date: | 12/19/2013 |
| Last Updated: | 12/19/2013 |
Provider Practice Location
7911 S 7TH ST
KALAMAZOO
MI
49009
Practice Location Phone/Fax
| Phone: | 2697437394 |
| Fax: |
Provider Mailing Location
7911 S 7TH ST
KALAMAZOO
MI
49009
Provider Mailing Phone/Fax
| Phone: | 2697437394 |
| Fax: |