Molly Gordon, SLP, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MOLLY GORDON, SLP, LLC

Doing business as

Molly Gordon, SLP

Practice address

854 Broadway Ste 2
South Portland, ME 04106-2712

Phone

(207) 358-0065

Fax

(207) 387-1904

NPI assigned

Oct 25, 2021

Last updated

Oct 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Molly Gordon, MS, CCC-SLPNPI 1346723079

Title

Owner

Phone

(207) 358-0065

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Molly Gordon, SLP Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Gordon, MS, CCC-SLP

  • Speech-Language Pathologist
  • South Portland, ME
  • NPI 1346723079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1275297475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 BROADWAY STE 2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062712",
            "telephone_number": "207-358-0065",
            "fax_number": "207-387-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 BROADWAY STE 2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062712",
            "telephone_number": "207-358-0065",
            "fax_number": "207-387-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY GORDON, SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-358-0065",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "METPID011803",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molly Gordon, SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mishla Dean, LCSW, LLC
• Lyndsay Mitsopoulos, IBCLC
• John Mladucky, PA-C
• Moby RX
• Judith Moll, LCSW
• Keelan Monroe, RDH
• Michelle Elise Montoney, LCPC-C
• Ashley Moore, LCPC
• Meagan W Moore, MD, PHD
• Amanda Morais, LCSW

• Speech-Language Pathologist in South Portland, ME
• Providers in South Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.