Provider Demographics
NPI:1164636510
Name:MONALOY GARBIN, GAIL (MA CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:
Last Name:MONALOY GARBIN
Suffix:
Gender:F
Credentials:MA CCCSLP
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:MONALOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA CCCSLP
Mailing Address - Street 1:140 HEPBURN ROAD
Mailing Address - Street 2:(APT. 9D)
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012
Mailing Address - Country:US
Mailing Address - Phone:973-773-7626
Mailing Address - Fax:973-773-7626
Practice Address - Street 1:140 HEPBURN ROAD
Practice Address - Street 2:(APT. 9D)
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012
Practice Address - Country:US
Practice Address - Phone:973-773-7626
Practice Address - Fax:973-773-7626
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00058200235Z00000X
NY000510-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
222443151OtherEIN IRS