Provider Demographics
NPI:1922346881
Name:FAITHFUL, GAIL CZARNECKI (MA)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:CZARNECKI
Last Name:FAITHFUL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:CZARNECKI
Other - Last Name:EHLERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:9325 LONG CREEK FAIRWAY DR
Mailing Address - Street 2:APT. 403
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2871
Mailing Address - Country:US
Mailing Address - Phone:704-654-9106
Mailing Address - Fax:
Practice Address - Street 1:9325 LONG CREEK FAIRWAY DR
Practice Address - Street 2:APT. 403
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-2871
Practice Address - Country:US
Practice Address - Phone:704-654-9106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8536235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist