Organization Name: | JILL GORDON INC |
NPI Number: | 1033278239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL GORDON (AUDIOLOGIST) |
Mailing Address: | 4257 Us Highway 9 Bldg 6 Freehold |
State: | NJ US |
Postal Code: | 077288310 |
Phone Number: | 7323039660 |
Fax Number: | 7323031810 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |