Active NPI
Marie Gabrielle Gorman, M.S.
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1780163055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP6147
- Practice address
- 6330 W Thunderbird Rd
Glendale, AZ 85306-4002 - Phone
- (623) 297-2627
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP6147 | AZ | Primary |
Addresses
Primary practice location
6330 W Thunderbird Rd
Glendale, AZ 85306-4002
Mailing address
9133 W Montana de Oro Dr
Peoria, AZ 85383-2202
Phone (623) 297-2627
Other practice location 1
6701 W Union Hills Dr
Glendale, AZ 85308-8067
Phone (602) 439-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP6147 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1780163055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9133 W MONTANA DE ORO DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832202",
"telephone_number": "623-297-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 W THUNDERBIRD RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064002",
"telephone_number": "623-297-2627"
}
],
"practiceLocations": [
{
"address_1": "6701 W Union Hills Dr",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088067",
"country_code": "US",
"telephone_number": "602-439-7400",
"fax_number": "602-439-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "MARIE",
"middle_name": "GABRIELLE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP6147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.