Doctor Name: | CANDACE J. GORDON |
NPI Number: | 1780825976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,C.C.C.,SLP |
License Number: | |
Business Practice Address: | 1186 Graves Ave Unit B Estes Park, CO - 805175439 |
Business Phone Number: | 9705770134 |
Business Fax Number: | 9705770136 |
Mailing Address: | 1186 Graves Ave, ESTES PARK |
State: | CO |
Postal Code: | 805177439 |
Phone Number: | 9705770134 |
Fax Number: | 9705770136 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
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 |