Provider Demographics
NPI:1629019278
Name:GILMORE, ROBERT ALAN (AUD, MHA, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:GILMORE
Suffix:
Gender:M
Credentials:AUD, MHA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SILVERHILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1311
Mailing Address - Country:US
Mailing Address - Phone:508-482-9100
Mailing Address - Fax:
Practice Address - Street 1:29 SILVERHILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1311
Practice Address - Country:US
Practice Address - Phone:508-482-9100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA506231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist