Provider Demographics
NPI:1275809063
Name:PLAUT, GAIL (MS, CCC-S/LP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:PLAUT
Suffix:
Gender:F
Credentials:MS, CCC-S/LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BURR LN
Mailing Address - Street 2:
Mailing Address - City:HOLMES
Mailing Address - State:NY
Mailing Address - Zip Code:12531-5045
Mailing Address - Country:US
Mailing Address - Phone:914-589-9193
Mailing Address - Fax:
Practice Address - Street 1:19 BURR LN
Practice Address - Street 2:
Practice Address - City:HOLMES
Practice Address - State:NY
Practice Address - Zip Code:12531-5045
Practice Address - Country:US
Practice Address - Phone:914-589-9193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008215235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist