Provider Demographics
NPI:1558698266
Name:ROWLAND, GINA MARIE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 BELAIR DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-7553
Mailing Address - Country:US
Mailing Address - Phone:717-267-3255
Mailing Address - Fax:
Practice Address - Street 1:1078 BELAIR DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-7553
Practice Address - Country:US
Practice Address - Phone:717-267-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007953235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist