Provider Demographics
NPI:1962849562
Name:VOCK, GABRIELLA E (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:E
Last Name:VOCK
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 1:4460 LOWER PARK RD
Mailing Address - Street 2:#2204
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6388
Mailing Address - Country:US
Mailing Address - Phone:646-387-6938
Mailing Address - Fax:
Practice Address - Street 1:4460 LOWER PARK RD
Practice Address - Street 2:#2204
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6388
Practice Address - Country:US
Practice Address - Phone:646-387-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI1396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist