Provider Demographics
NPI:1861272676
Name:KAY, GAIL MARSHALL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:MARSHALL
Last Name:KAY
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 1:17 TAMARACK CIR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4640
Mailing Address - Country:US
Mailing Address - Phone:203-257-8637
Mailing Address - Fax:
Practice Address - Street 1:17 TAMARACK CIR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4640
Practice Address - Country:US
Practice Address - Phone:203-257-8637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004350235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist