Individual
MS. AMBER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
19 SANVILLE SCHOOL RD, BASSETT, VA 24055-5032
(276) 629-5301
Mailing address
138 AUTUMN DR, COLLINSVILLE, VA 24078-2623
(276) 734-5845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011078
VA
Other
Enumeration date
07/21/2022
Last updated
10/02/2023
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