Individual
BARBARA JACOBS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.C.C.C.SLP
Contact information
Practice address
451 ANDOVER ST, SUITE 165, NORTH ANDOVER, MA 01845-5044
(978) 794-1899
(978) 794-4445
Mailing address
25 BATESON DR, ANDOVER, MA 01810-3401
(978) 475-2839
(978) 794-4445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0015
BCBS PROVIDER NO
MA
Enumeration date
01/02/2007
Last updated
07/08/2007
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