Provider Demographics
NPI:1093135766
Name:GILCHRIST, JANET (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 DRAKE RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8624
Mailing Address - Country:US
Mailing Address - Phone:513-934-5393
Mailing Address - Fax:
Practice Address - Street 1:1916 DRAKE RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8624
Practice Address - Country:US
Practice Address - Phone:513-934-5393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3759235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist