DR. Sandra Laing Gillam, SANDRA GILLAM

NPI #1356539456 in Logan, Utah

Provider Information

NPI Number: 1356539456
Entity Type: Individual
Name: DR. Sandra Laing Gillam, SANDRA GILLAM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: SANDRA GILLAM
Enumeration Date: Oct 15, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 1028 EASTRIDGE DR
City: Logan
State: Utah
ZIP Code: 84321-4990
Phone: (435) 753-9629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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