Doctor Name: | BROOKE GORDON |
NPI Number: | 1316250772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12118078 |
Business Practice Address: | 6800 Leetsdale Dr Denver, CO - 802241588 |
Business Phone Number: | 3033319963 |
Business Fax Number: | |
Mailing Address: | 5327 S Jellison St, LITTLETON |
State: | CO |
Postal Code: | 801232185 |
Phone Number: | 7203838383 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12118078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |