Provider Demographics
NPI:1164568382
Name:TAUBERER, GALE (SLPD)
Entity Type:Individual
Prefix:DR
First Name:GALE
Middle Name:
Last Name:TAUBERER
Suffix:
Gender:F
Credentials:SLPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 JEREMY AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3016
Mailing Address - Country:US
Mailing Address - Phone:516-681-1111
Mailing Address - Fax:516-681-4141
Practice Address - Street 1:225 RABRO DR
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-4241
Practice Address - Country:US
Practice Address - Phone:631-853-3041
Practice Address - Fax:631-853-2310
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1884-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist