Provider Demographics
NPI:1457471930
Name:WHITELAW, GAIL MOIRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:MOIRA
Last Name:WHITELAW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 CARMACK RD
Mailing Address - Street 2:141 PRESSEY HALL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1002
Mailing Address - Country:US
Mailing Address - Phone:614-292-6251
Mailing Address - Fax:614-292-5723
Practice Address - Street 1:1070 CARMACK RD
Practice Address - Street 2:141 PRESSEY HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1002
Practice Address - Country:US
Practice Address - Phone:614-292-6251
Practice Address - Fax:614-292-5723
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0680231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist