| NPI | 1821594532 |
|---|---|
| Professional Name | LACEY GARDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10316492-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6929) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-09-11 |