Provider Demographics
NPI:1013183888
Name:VOSBURGH, GLORIA S (M ED CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:S
Last Name:VOSBURGH
Suffix:
Gender:F
Credentials:M ED CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E IVY LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2569
Mailing Address - Country:US
Mailing Address - Phone:847-253-9470
Mailing Address - Fax:
Practice Address - Street 1:510 E IVY LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2569
Practice Address - Country:US
Practice Address - Phone:847-253-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146000814235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist