Provider Demographics
NPI:1659813566
Name:GAULDIN, WHITNEY HANCOCK (M ED)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:HANCOCK
Last Name:GAULDIN
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:DENISE
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5229 APPOMATTOX RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27313-8202
Mailing Address - Country:US
Mailing Address - Phone:336-674-2252
Mailing Address - Fax:
Practice Address - Street 1:5229 APPOMATTOX RD
Practice Address - Street 2:
Practice Address - City:PLEASANT GARDEN
Practice Address - State:NC
Practice Address - Zip Code:27313-8202
Practice Address - Country:US
Practice Address - Phone:336-674-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist