Provider Demographics
NPI:1437485141
Name:GILLETTE, YVONNE (PHD)
Entity Type:Individual
Prefix:PROF
First Name:YVONNE
Middle Name:
Last Name:GILLETTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S MAIN ST
Mailing Address - Street 2:POLSKY, SUITE 181
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-3001
Mailing Address - Country:US
Mailing Address - Phone:330-972-6115
Mailing Address - Fax:
Practice Address - Street 1:225 S MAIN ST
Practice Address - Street 2:POLSKY, SUITE 181
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-3001
Practice Address - Country:US
Practice Address - Phone:330-972-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2643235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist