Provider Demographics
NPI:1548147721
Name:GILBERT, AUDRA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:AUDRA
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 MAIN ST APT 1330
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5011
Mailing Address - Country:US
Mailing Address - Phone:720-829-8155
Mailing Address - Fax:
Practice Address - Street 1:2305 FARM TO MARKET 740N
Practice Address - Street 2:SUITE 101C
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087
Practice Address - Country:US
Practice Address - Phone:817-803-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist