Provider Demographics
NPI:1790149730
Name:TURNAGE, GAYLE
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:TURNAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 LAUREL BOWIE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1703
Mailing Address - Country:US
Mailing Address - Phone:240-245-4370
Mailing Address - Fax:240-245-4472
Practice Address - Street 1:6915 LAUREL BOWIE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1703
Practice Address - Country:US
Practice Address - Phone:240-245-4370
Practice Address - Fax:240-245-4472
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist