Provider Demographics
NPI:1689117442
Name:GAUGLER, CINDY MICHELLE
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:MICHELLE
Last Name:GAUGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:MICHELLE
Other - Last Name:PAREDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8552 85TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1233
Mailing Address - Country:US
Mailing Address - Phone:718-849-4870
Mailing Address - Fax:
Practice Address - Street 1:8552 85TH ST
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1233
Practice Address - Country:US
Practice Address - Phone:718-849-4870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026047-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist