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MOLLY GORDON SLP LLC NPI 1275297475


NPI Information

NPI: 1275297475
Provider Name: MOLLY GORDON, SLP, LLC

Doing Business As: MOLLY GORDON, SLP

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
884 BROADWAY UNIT 5
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 358-0065
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MOLLY GORDON, SLP, LLC is a speech language pathologist in South Portland, ME. The provider is 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. MOLLY GORDON, SLP, LLC NPI is 1275297475. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Molly Gordon, Slp.

The provider's business location address is:

884 BROADWAY UNIT 5
SOUTH PORTLAND, ME
ZIP 04106-371
Phone: (207) 358-0065

The provider's authorized official is Molly Gordon .
The authorized official title is Owner and has the following contact phone number (207) 358-0065.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 1/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1METPID011803MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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