Provider Demographics
NPI:1659660173
Name:GUILBE, IRIS M (MS, CF SLP)
Entity Type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:M
Last Name:GUILBE
Suffix:
Gender:F
Credentials:MS, CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 SW 60TH STREET RD
Mailing Address - Street 2:APT. 1107
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5793
Mailing Address - Country:US
Mailing Address - Phone:939-630-3759
Mailing Address - Fax:
Practice Address - Street 1:5101 SW 60TH STREET RD
Practice Address - Street 2:APT. 1107
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5793
Practice Address - Country:US
Practice Address - Phone:939-630-3759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5148235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist