Michelle Judith Gordon in Tampa - Speech-language Pathologist

Michelle Judith Gordon - NPI 1801929526

Michelle Judith Gordon is a Speech-language Pathologist in Tampa, Florida. Michelle Judith Gordon practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Michelle Judith Gordon is 1801929526. The last update date is 2007-07-08.

Michelle Judith Gordon's current location address is 6508 Gunn Highway, Tampa, Florida. You can contact this provider via phone number 8139636923 and fax number 8132640768. The mailing address for Michelle Judith Gordon is 6508 Gunn Highway, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Judith Gordon
Address 6508 Gunn Highway, Tampa, Florida
Phone Number 8139636923
Fax Number 8132640768
Sole Proprietor N
Credentials MA CCC SLP

NPI Number Detail

NPI Number 1801929526
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6508 Gunn Highway
City Tampa
State Florida (FL)
Post Code 336254022
Phone Number 8139636923
Fax Number 8132640768

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SA7635
Definition:
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. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52855 FL BCBS

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FAQs about Michelle Judith Gordon

What is the unique 10-digit identification code issued to Michelle Judith Gordon by the Centers for Medicare & Medicaid Services?

The Michelle Judith Gordon has been assigned the NPI (National Provider Identifier) 1801929526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Michelle Judith Gordon?

The Michelle Judith Gordon is situated at 6508 Gunn Highway, in the city of Tampa, state of FL, with the zip code 336254022.

What is Michelle Judith Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michelle Judith Gordon's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date did the Michelle Judith Gordon receive its 1801929526 assignment from the Centers for Medicare & Medicaid Services?

The Michelle Judith Gordon was assigned its 1801929526 by the Centers for Medicare & Medicaid Services on 2007-03-13.

When was the information regarding Michelle Judith Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michelle Judith Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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