Individual
MS. ANN E GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
207 HALLOCK RD, SUITE 6, STONY BROOK, NY 11790-3033
(631) 751-3838
(631) 751-3767
Mailing address
17 MILLS LN, EAST SETAUKET, NY 11733-3805
(631) 751-3838
(631) 751-3767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000469-1
NY
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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