Gordon, Ellen Elizabeth

Gordon, Ellen Elizabeth is an sole proprietor health care provider with primary practice located at 4350 Warm Springs Rd Suite 500, Columbus GA 31909-5464. 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, Ellen Elizabeth can be contacted via phone (706) 575-8365.

Contact Information

Primary practice address
4350 Warm Springs Rd Suite 500 Columbus GA 31909-5464
Phone: (706) 575-8365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004645 Georgia

Profile Details

NPI number 1487719035
LBN Legal business name Gordon, Ellen Elizabeth
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jul 28th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487719035 NPPES
Georgia MEDICAID 441043532F
Georgia Other 341716

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