Molly Gordon, Slp

LBN: Molly Gordon, Slp, Llc
Molly Gordon, Slp is an health care organization with primary practice located at 884 Broadway Unit 5 , South Portland ME 04106-4371. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Molly Gordon, Slp, Llc can be contacted via phone (207) 358-0065, or through Gordon, Molly via phone (207) 358-0065.

Contact Information

Primary practice address
884 Broadway Unit 5 South Portland ME 04106-4371
Phone: (207) 358-0065
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Molly MS, CCC-SLP
Phone: (207) 358-0065

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1275297475
LBN Legal business name Molly Gordon, Slp, Llc
DBA Doing business as Molly Gordon, Slp
Authorized official Gordon, Molly MS, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2021
Last updated Jan 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275297475 NPPES
Maine MEDICAID METPID011803

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