Provider Demographics
NPI:1376816025
Name:GABBERT-DOWNS, GRETCHEN JANE (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:JANE
Last Name:GABBERT-DOWNS
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21295 E GRAND DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6429
Mailing Address - Country:US
Mailing Address - Phone:214-505-2171
Mailing Address - Fax:
Practice Address - Street 1:21295 E GRAND DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-6429
Practice Address - Country:US
Practice Address - Phone:214-505-2171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12010332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist