Johanna Everett Gordon in Frederick - Speech-language Pathologist

Johanna Everett Gordon - NPI 1801010079

Johanna Everett Gordon is a Speech-language Pathologist in Frederick, Maryland. Johanna Everett Gordon practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Johanna Everett Gordon is 1801010079. The last update date is 2007-07-08.

Johanna Everett Gordon's current location address is 700 Toll House Ave, Frederick, Maryland. You can contact this provider via phone number 3018158878 and fax number 3016682352. The mailing address for Johanna Everett Gordon is 700 Toll House Ave, Frederick, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Johanna Everett Gordon
Address 700 Toll House Ave, Frederick, Maryland
Phone Number 3018158878
Fax Number 3016682352
Sole Proprietor N
Credentials M.S. CCC-S

NPI Number Detail

NPI Number 1801010079
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 Toll House Ave
City Frederick
State Maryland (MD)
Post Code 217014575
Phone Number 3018158878
Fax Number 3016682352

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2575
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

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FAQs about Johanna Everett Gordon

What is the Johanna Everett Gordon's 1801010079?

The Johanna Everett Gordon's NPI (National Provider Identifier) Number is 1801010079. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Johanna Everett Gordon?

The Johanna Everett Gordon is physically situated at 700 Toll House Ave, in the city of Frederick, state of MD, with the postal code 217014575.

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

The Johanna Everett 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 was the 1801010079 assigned to Johanna Everett Gordon?

The Johanna Everett Gordon was issued its 1801010079 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Johanna Everett Gordon last refreshed?

The information related to the Johanna Everett Gordon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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