Willard A. Gannon Valid NPI

Individual provider · Speech-Language Pathologist · North Cape May, NJ

NPI

1093830580

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

41YSOO393000 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-21

Last updated

2007-07-08