Individual
MS. BETH BERKOWITZ GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
215 BROADWAY AVE, WILMETTE, IL 60091-3464
(914) 329-4696
Mailing address
215 BROADWAY AVE, WILMETTE, IL 60091-3464
(914) 329-4696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012952
IL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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