Provider Demographics
NPI:1619292935
Name:GILY, RACHAEL ANN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:ANN
Last Name:GILY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 23RD ST
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-2562
Mailing Address - Country:US
Mailing Address - Phone:812-547-2333
Mailing Address - Fax:812-547-3249
Practice Address - Street 1:101 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-2583
Practice Address - Country:US
Practice Address - Phone:270-756-2159
Practice Address - Fax:270-756-6839
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3124235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist