Mary B. Gorin, M.ED., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22001261A Issued in IN

Practice address

2001 Long Knife CT
Louisville, KY 40207-1176

Phone

(502) 797-1371

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Therapy Associates

  • Speech-Language Pathologist
  • Louisville, KY
  • NPI 1407976327
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1154595809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LONG KNIFE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071176",
            "telephone_number": "502-797-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LONG KNIFE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071176",
            "telephone_number": "502-797-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIN",
        "first_name": "MARY",
        "middle_name": "B.",
        "credential": "M.ED., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22001261A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri C Gore, APRN FNP-C
• Camille Gorena
• Collette Gorga, MD STUDENT
• Gorham Counseling and Wellness, LLC
• Chelsey Layne Gorham
• Bridgette Gorman
• William L Gorman, MD
• John Michael Gormley, M.D.
• Haeshik Gorr, MD
• Candice Marie Gorrie, PTA

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.