Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Marie Gillis, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1285397356

Angela Marie Gillis, MSCCC-SLP is a Speech-Language Pathologist in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

17434 State Road 23 Ste 205
South Bend, IN 46635-1743
Phone: (574) 742-1114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22007156A (IN)

Record details

NPI number1285397356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateSeptember 16, 2021

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