Provider Demographics
NPI:1508151630
Name:GUMBEL, NANCY (MSED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:GUMBEL
Suffix:
Gender:F
Credentials:MSED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6665 HUNTER RD
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5572
Mailing Address - Country:US
Mailing Address - Phone:410-540-9903
Mailing Address - Fax:
Practice Address - Street 1:6665 HUNTER RD
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-5572
Practice Address - Country:US
Practice Address - Phone:410-540-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04402235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist