Brenda Lee Gordon in Joplin - Speech-language Pathologist
Brenda Lee Gordon - NPI 1114130853
Brenda Lee Gordon is a Speech-language Pathologist in Joplin, Missouri. Brenda Lee Gordon practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Brenda Lee Gordon is 1114130853. The last update date is 2007-10-18.
Brenda Lee Gordon's current location address is 10088 Deer Wood Dr, Joplin, Missouri. You can contact this provider via phone number 4176244325. The mailing address for Brenda Lee Gordon is 10088 Deer Wood Dr, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Lee Gordon |
|---|---|
| Address | 10088 Deer Wood Dr, Joplin, Missouri |
| Phone Number | 4176244325 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS CCCSLP |
NPI Number Detail
| NPI Number | 1114130853 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 10088 Deer Wood Dr |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648048359 |
| Phone Number | 4176244325 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | MO01639 |
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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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What is the unique 10-digit identifier code assigned to Brenda Lee Gordon by the Centers for Medicare & Medicaid Services?
The Brenda Lee Gordon has been issued the NPI (National Provider Identifier) 1114130853 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Brenda Lee Gordon?
The Brenda Lee Gordon is situated at 10088 Deer Wood Dr, in the city of Joplin, state of MO, with the zip code 648048359.
What is Brenda Lee Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda Lee 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 Centers for Medicare & Medicaid Services originally issue the 1114130853 to Brenda Lee Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1114130853 to Brenda Lee Gordon on 2007-05-08.
As of what date were the Brenda Lee Gordon's details last updated?
The information pertaining to the Brenda Lee Gordon, including its address, specialty, and other details, was most recently updated on 2007-10-18.
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