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Mary B. Gorgol, MACCC-SLP
Speech-Language Pathologist in Indianapolis, Indiana
NPI 1720203573

Mary B. Gorgol is a Speech-Language Pathologist based in Indianapolis, IN. Mary B. Gorgol practices in Indianapolis, IN and has the professional credentials of MACCC-SLP. The NPI Number for Mary B. Gorgol is 1720203573 and holds a License No. 22002678A (Indiana).

The current practice location address for Mary B. Gorgol is 4827 E 72Nd St, Indianapolis, IN and can be reached out via phone at 317-435-6149 and via fax at 317-570-3699.

Location: 4827 E 72Nd St, Indianapolis, IN, 46250-2501
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Provider Profile Details
NPI Number
1720203573
Provider Name
Mary B. Gorgol
Credential
MACCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
4827 E 72Nd St, Indianapolis, IN, 46250-2501
Phone Number
317-435-6149
Fax Number
317-570-3699
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200716360A 01 IN PROVIDER NUMBER
200648660 01 IN RENDERING PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
4827 E 72Nd St
City
State
Zip
46250-2501
Phone Number
317-435-6149
Fax Number
317-570-3699
person
Provider Business Mailing Address Details
Address
4827 E 72Nd St
City
State
Zip
46250-2501
Phone Number
317-435-6149
Fax Number
317-570-3699
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
License No.
22002678A (Indiana)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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