Provider Demographics
NPI:1730571316
Name:GILBOW, TAYLOR (AUD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:GILBOW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 N GALLOWAY AVE STE 322
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4767
Mailing Address - Country:US
Mailing Address - Phone:972-270-4441
Mailing Address - Fax:
Practice Address - Street 1:3330 N GALLOWAY AVE STE 322
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4767
Practice Address - Country:US
Practice Address - Phone:972-270-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX389152355S0801X
TX81061231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant