Provider Demographics
NPI:1306076351
Name:DREILINGER, GILLIAN (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:GILLIAN
Middle Name:
Last Name:DREILINGER
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 ONECO AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1637
Mailing Address - Country:US
Mailing Address - Phone:407-882-0470
Mailing Address - Fax:407-249-4774
Practice Address - Street 1:12424 RESEARCH PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3249
Practice Address - Country:US
Practice Address - Phone:407-882-0468
Practice Address - Fax:407-249-4774
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA1747235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist