Provider Demographics
NPI:1386765428
Name:GILSON, MAUREEN E (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:E
Last Name:GILSON
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 1:3980 COMMERCE AVE
Mailing Address - Street 2:APT. B-16
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1731
Mailing Address - Country:US
Mailing Address - Phone:215-200-0833
Mailing Address - Fax:
Practice Address - Street 1:380 OXFORD VALLEY RD
Practice Address - Street 2:SPEECH THERAPY
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8304
Practice Address - Country:US
Practice Address - Phone:215-949-5341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008219235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist