Provider Demographics
NPI:1811049885
Name:ELSER, GAIL L (SLP)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:L
Last Name:ELSER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 JEFFERS LOOP
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:MT
Mailing Address - Zip Code:59729-9029
Mailing Address - Country:US
Mailing Address - Phone:406-682-4368
Mailing Address - Fax:
Practice Address - Street 1:7 JEFFERS LOOP
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:MT
Practice Address - Zip Code:59729-9029
Practice Address - Country:US
Practice Address - Phone:406-682-4368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT39235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT661210OtherBLUE CROSS BLUE SHIELD