Provider Demographics
NPI:1821171216
Name:WHITEFORD, GWENN CATHERINE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:GWENN
Middle Name:CATHERINE
Last Name:WHITEFORD
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4482 KILMER CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1428
Mailing Address - Country:US
Mailing Address - Phone:724-733-3798
Mailing Address - Fax:724-733-3798
Practice Address - Street 1:5827 MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9404
Practice Address - Country:US
Practice Address - Phone:724-443-0700
Practice Address - Fax:724-443-4410
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005828L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA347321OtherBCBS HIGHMARK