Audrey Clark Gordon, SPEECH THERAPIST
Individual provider Active NPI Speech-Language Pathologist · Greensburg, LA
NPI 1831945906 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1831945906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1147 (LA)
- Practice address
- 14340 Highway 37
Greensburg, LA 70441-5213 - Phone
- (337) 781-5914
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1147 | LA | Yes |
Addresses
Primary practice location
14340 Highway 37
Greensburg, LA 70441-5213
Mailing address
PO Box 651
Greensburg, LA 70441-0651
Phone (337) 781-5914
Other providers in Greensburg, LA
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- Katrina E Chaney
- Ladonna N Evans
- Kristie Faust
- Fred'S Inc
- Greensburg Family Pharmacy
- Greensburg Family Pharmacy LLC
- Daranecia Griffin
- Jennifer Guillory
- H10 Pediatrics & Family Clinic LLC
All providers in Greensburg, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.