Provider Demographics
NPI:1437517935
Name:GATEWAY COMMUNICATIONS, PLLC
Entity Type:Organization
Organization Name:GATEWAY COMMUNICATIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:V
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MED CCC-SLP
Authorized Official - Phone:910-987-9129
Mailing Address - Street 1:PO BOX 26312
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5021
Mailing Address - Country:US
Mailing Address - Phone:910-447-9555
Mailing Address - Fax:844-833-5682
Practice Address - Street 1:513 GLEN CANYON DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3218
Practice Address - Country:US
Practice Address - Phone:910-447-9555
Practice Address - Fax:844-833-5682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9386235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty