Provider Demographics
NPI:1699914317
Name:WEDDINGTON, GAIL LYNN (AUD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:LYNN
Last Name:WEDDINGTON
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:44200 WOODWARD AVENUE SUITE 201
Mailing Address - Street 2:MICHIGAN EAR, NOSE AND THROAT ASSOCIATES
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341
Mailing Address - Country:US
Mailing Address - Phone:248-334-9490
Mailing Address - Fax:248-636-1170
Practice Address - Street 1:44200 WOODWARD AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341
Practice Address - Country:US
Practice Address - Phone:248-334-9490
Practice Address - Fax:248-636-1170
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARA294231HA2400X, 237600000X
MI1601000023231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter