Provider Demographics
NPI:1700196268
Name:DELEON, GAIL JOY (MA- CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:JOY
Last Name:DELEON
Suffix:
Gender:F
Credentials:MA- CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CRANBERRY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1645
Mailing Address - Country:US
Mailing Address - Phone:917-685-7597
Mailing Address - Fax:
Practice Address - Street 1:37 CRANBERRY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1645
Practice Address - Country:US
Practice Address - Phone:917-685-7597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014551235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist