Suzanne Lynn Gordon, MS, CCC-SLP
Speech-Language Pathologist, in Albuquerque, NM. Individual provider (NPI-1).
NPI number1245308964
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245308964
- Entity type
- Individual (NPI-1)
- Name
- Ms. Suzanne Lynn Gordon
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 1301 | NM | Yes |
Practice location
1209 Monte Largo Ct NeAlbuquerque, NM 87123-1826
Phone 505-385-4733
Mailing address
11306 Richfield Ave NeAlbuquerque, NM 87122-4188
Phone 505-385-4733
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