Provider Demographics
NPI:1427099597
Name:TAKAHASHI, GAIL (PHD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:
Last Name:TAKAHASHI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HIGHWAY 6 W
Mailing Address - Street 2:AUDIOLOGY 126
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2292
Mailing Address - Country:US
Mailing Address - Phone:319-339-7126
Mailing Address - Fax:319-887-4956
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:AUDIOLOGY 126
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-339-7126
Practice Address - Fax:319-887-4956
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA409231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist