Doctor Name: | KATHERINE GORDON |
NPI Number: | 1710346887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | |
Business Practice Address: | 320 N Loretto Rd Lebanon, KY - 400331300 |
Business Phone Number: | 2706995788 |
Business Fax Number: | |
Mailing Address: | 320 N Loretto Rd, LEBANON |
State: | KY |
Postal Code: | 400331300 |
Phone Number: | 2706995788 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |