Gordon, Bridget Moss
Gordon, Bridget Moss is an individual health care provider with primary practice located at 13260 N 94Th Dr Suite 104, Peoria AZ 85381-4828. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gordon, Bridget Moss can be contacted via phone (623) 974-8900.Contact Information
Primary practice address
13260 N 94Th Dr Suite 104
Peoria AZ 85381-4828
Phone: (623) 974-8900
Fax: (623) 974-8911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 15928 | California |
Profile Details
| NPI number | 1821134834 |
|---|---|
| LBN Legal business name | Gordon, Bridget Moss |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Dec 17th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821134834 | NPPES |
| Arizona | Other | AZ0913750 | BLUE CROSS BLUE SHIELD AZ |
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