| Doctor Name: | NANCY H GORDON |
| NPI Number: | 1780698589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 2202002705 |
| Business Practice Address: | 906 Trailview Blvd Se Suite A Leesburg, VA - 201754415 |
| Business Phone Number: | 7037770561 |
| Business Fax Number: | 7037378235 |
| Mailing Address: | 906 Trailview Blvd. Se, Suite A LEESBURG |
| State: | VA |
| Postal Code: | 20175 |
| Phone Number: | 7037770561 |
| Fax Number: | 7037378235 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 09/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202002705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |