Mary B. Gorin, M.Ed., CCC/SLP
Speech-Language Pathologist, in Louisville, KY. Individual provider (NPI-1).
NPI number1154595809
StatusActive
Last updated in NPPESApr 14, 2008
Details
- NPI
- 1154595809
- Entity type
- Individual (NPI-1)
- Name
- Mary B. Gorin
- Credential
- M.Ed., CCC/SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2008
- Last updated
- Apr 14, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 22001261A | IN | Yes |
Practice location
2001 Long Knife CtLouisville, KY 40207-1176
Phone 502-797-1371
Mailing address
2001 Long Knife CtLouisville, KY 40207-1176
Phone 502-797-1371
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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