Provider Demographics
NPI:1760376362
Name:GILBERT, GABRIELLE MARIGAIL (CCC-SLP)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:MARIGAIL
Last Name:GILBERT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ELLE
Other - Middle Name:MARIGAIL
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:635 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6765
Mailing Address - Country:US
Mailing Address - Phone:443-762-1984
Mailing Address - Fax:
Practice Address - Street 1:10 N JEFFERSON ST STE 403
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4823
Practice Address - Country:US
Practice Address - Phone:301-668-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist