Karly M Gordon, MS, CCC-SLP
Speech-Language Pathologist, in Basking Ridge, New Jersey
1629653282- Practice location
- 298 Penns Way, Basking Ridge, NJ 07920-3038
- Phone
- 908-340-6929
- Fax
- —
- Last updated
- March 16, 2021
Karly Marissa Gordon is a Speech-Language Pathologist, based in Basking Ridge, NJ. Karly Marissa Gordon practices in Basking Ridge, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Karly Marissa Gordon is 1629653282 and holds a License No. 41YS01063600 (NJ). The current practice location address for Karly Marissa Gordon is 298 Penns Way, Basking Ridge, NJ 07920-3038 and can be reached out via phone at 908-340-6929.
Provider Profile Details
- NPI Number
- 1629653282
- Provider Name
- Karly Marissa Gordon
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 298 Penns Way, Basking Ridge, NJ 07920-3038
- Phone Number
- 908-340-6929
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 16, 2021
- Last Update Date
- March 16, 2021
- Certification Date
- March 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 298 Penns Way
Basking Ridge, NJ 07920-3038 - City
- Basking Ridge
- State
- New Jersey
- Zip
- 07920-3038
- Phone Number
- 908-340-6929
Provider Business Mailing Address Details
- Address
- 298 Penns Way
Basking Ridge, NJ 07920-3038 - City
- Basking Ridge
- State
- NJ
- Zip
- 07920-3038
- Phone Number
- 908-340-6929
License Information
- License Number
- 41YS01063600
- License State
- NJ
- 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 Karly M Gordon, MS, CCC-SLP?
The NPI number of Karly M Gordon, MS, CCC-SLP is 1629653282. It was assigned on March 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Karly M Gordon, MS, CCC-SLP?
Karly M Gordon, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01063600.
Where does Karly M Gordon, MS, CCC-SLP practice?
The practice location is 298 Penns Way, Basking Ridge, NJ 07920-3038. The office can be reached at 908-340-6929 (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 1629653282 directly on the NPPES registry website.