Individual
NANCY H GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
906 TRAILVIEW BLVD SE, SUITE A, LEESBURG, VA 20175-4415
(703) 777-0561
(703) 737-8235
Mailing address
906 TRAILVIEW BLVD. SE, SUITE A, LEESBURG, VA 20175
(703) 777-0561
(703) 737-8235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257110
MAMSI
VA
Enumeration date
07/28/2006
Last updated
09/12/2007
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