Individual
ALLISON LEE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
530D GRAND ST # D, APT. 3C, NEW YORK, NY 10002-4258
(212) 673-5029
Mailing address
530D GRAND ST., APT. 3C, NEW YORK, NY 10002
(212) 673-5029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009903-1
NY
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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