Provider Demographics
NPI:1932681608
Name:GAYDOS, RENEE (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:GAYDOS
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 ANGELA DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2688
Mailing Address - Country:US
Mailing Address - Phone:724-837-6070
Mailing Address - Fax:724-837-2181
Practice Address - Street 1:685 ANGELA DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2655
Practice Address - Country:US
Practice Address - Phone:724-837-6070
Practice Address - Fax:724-837-2181
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003970L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist