Provider Demographics
NPI:1811177793
Name:DAVIE, GAIL LOUISE (MA, CCC/SLP)
Entity type:Individual
Prefix:MISS
First Name:GAIL
Middle Name:LOUISE
Last Name:DAVIE
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 BROXTON BAY DR APT 1022
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-0604
Mailing Address - Country:US
Mailing Address - Phone:281-910-1725
Mailing Address - Fax:619-532-6088
Practice Address - Street 1:13000 BROXTON BAY DR APT 1022
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-0604
Practice Address - Country:US
Practice Address - Phone:281-910-1725
Practice Address - Fax:619-532-6088
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist