Gayle Lacie Tillotson, MS SLP - CCC is a
Speech-language Pathologist based in Richford, New York. Gayle Lacie Tillotson is licensed to practice in New York (license number 021611-1) and her current practice location is
974 Hunts Corners Rd, Richford, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 849-6662.
NPI number for Gayle Lacie Tillotson is 1508137928 and her current mailing address is 974 Hunts Corners Rd, Richford, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508137928.
Healthcare Provider's Profile
Full Name | Gayle Lacie Tillotson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 974 Hunts Corners Rd, Richford, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508137928
- Provider Enumeration Date: 01/17/2012
- Last Update Date: 01/17/2012
Medical Identifiers
Medical identifiers for Gayle Lacie Tillotson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508137928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 021611-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gayle Lacie Tillotson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gayle Lacie Tillotson, MS SLP - CCC 974 Hunts Corners Rd, Richford, NY 13835-2041 Ph: (607) 849-6662 | Gayle Lacie Tillotson, MS SLP - CCC 974 Hunts Corners Rd, Richford, NY 13835-2041 Ph: (607) 849-6662 |
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