Sandra J Gordon, MS, CCC-SLP
Speech-Language Pathologist, in Penacook, New Hampshire
1093328106- Practice location
- 25 Ty Ln, Penacook, NH 03303-1049
- Phone
- 603-717-8324
- Fax
- —
- Last updated
- August 28, 2020
Sandra J Gordon is a Speech-Language Pathologist, based in Penacook, NH. Sandra J Gordon practices in Penacook, NH and has the professional credentials of MS, CCC-SLP. The NPI Number for Sandra J Gordon is 1093328106 and holds a License No. 1612 (NH). The current practice location address for Sandra J Gordon is 25 Ty Ln, Penacook, NH 03303-1049 and can be reached out via phone at 603-717-8324.
Provider Profile Details
- NPI Number
- 1093328106
- Provider Name
- Sandra J Gordon
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Ty Ln, Penacook, NH 03303-1049
- Phone Number
- 603-717-8324
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 28, 2020
- Last Update Date
- August 28, 2020
- Certification Date
- August 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Ty Ln
Penacook, NH 03303-1049 - City
- Penacook
- State
- New Hampshire
- Zip
- 03303-1049
- Phone Number
- 603-717-8324
Provider Business Mailing Address Details
- Address
- 25 Ty Ln
Penacook, NH 03303-1049 - City
- Penacook
- State
- NH
- Zip
- 03303-1049
- Phone Number
- 603-717-8324
License Information
- License Number
- 1612
- License State
- NH
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sandra J Gordon, MS, CCC-SLP?
The NPI number of Sandra J Gordon, MS, CCC-SLP is 1093328106. It was assigned on August 28, 2020 and is currently active in the NPPES registry.
What is the specialty of Sandra J Gordon, MS, CCC-SLP?
Sandra J Gordon, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NH under license number 1612.
Where does Sandra J Gordon, MS, CCC-SLP practice?
The practice location is 25 Ty Ln, Penacook, NH 03303-1049. The office can be reached at 603-717-8324 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093328106 directly on the NPPES registry website.