Individual
MRS. RACHEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY
Contact information
Practice address
16 FUSTING AVE, CATONSVILLE, MD 21228-4413
(410) 747-1800
Mailing address
16 FUSTING AVE, CATONSVILLE, MD 21228-4413
(410) 747-1800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44304404800
—
MD
01
—
XIK904346995
CARE FIRST BLUE CHOICE
MD
Enumeration date
07/08/2012
Last updated
07/08/2012
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