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Deactivated NPI 1255626123 Deactivated / Inactive NPI Female Practitioner

Gail Squires , CCC-SLP

Speech-Language Pathologist • Stafford, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gail Squires has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2011
NPI Deactivation Date August 26, 2019
Total Practice Duration ~8 Years of Practice (2011 – 2019)

Professional Overview & Biography Verified Profile Summary

Gail Squires, CCC-SLP was a registered Speech-Language Pathologist practicing in Stafford, VA. Throughout an active medical career spanning 8 years, Gail Squires provided care at the practice location at 2765 JEFFERSON DAVIS HWY until profile deactivation on 2019-08-26.

Practice Location & Contact Primary Location

Practice Address

2765 Jefferson Davis Hwy
Suite 209

Stafford, VA 225548331

Telephone 5407202261
Fax 5407205660
Associated Practice Facility / Clinic
🏢 Fleming Therapy Services, Llc Facility NPI 1194925818

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Stafford, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
74 Specialists

Practicing in Stafford, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202005175

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Alyson Holt , OTD, OTR, L

Occupational Therapist

NPI 1003470105

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Alexandra Miceli , OTR, L

Occupational Therapist

NPI 1023556354

Occupational Therapist Registered, L

Julia Trejo , MED CCC-SLP

Speech-Language Pathologist

NPI 1033624911

MEDCCCSLP

Dr. Annie Golovcsenko , PT, DPT

Physical Therapist - Pediatrics

NPI 1033678941

Physical Therapist, Doctor of Physical Therapy

Elizabeth Hasseltine , SLP

Speech-Language Pathologist

NPI 1043740905

Speech-Language Pathologist

Alissa Agnew , PT

Physical Therapist

NPI 1043764723

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 26, 2019

Record deactivated on August 26, 2019

NPI Profile Active June 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2011

Registered at 2765 JEFFERSON DAVIS HWY, SUITE 209, STAFFORD, VA 225548331 (Tel: 5407202261)

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Updated Business Mailing Address June 18, 2011

Registered at 2765 JEFFERSON DAVIS HWY, SUITE 209, STAFFORD, VA 225548331 (Tel: 5407202261)

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Provider Name / Credentials Updated June 18, 2011

Recorded as GAIL SQUIRES, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2011

Speech-Language Pathologist (License #2202005175 in VA)

🟢
Initial NPI Registration & Enumeration June 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255626123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2011
Last Update: June 18, 2011
Deactivation Date: August 26, 2019

Mailing Address

2765 Jefferson Davis Hwy, Suite 209

Stafford, VA 225548331

Phone: 5407202261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.