Individual
ELIZABETH LYNN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
(703) 257-6270
Mailing address
8107 BLANDSFORD DR, MANASSAS, VA 20111-2949
(703) 257-6270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004213
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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