| Molly Gordon, Slp | |
|
884 Broadway Unit 5, South Portland, ME 04106-4371 | |
| (207) 358-0065 | |
| Not Available |
| Full Name | Molly Gordon, Slp |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 884 Broadway Unit 5, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275297475 | NPI | - | NPPES |
| METPID011803 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Molly Kathryn Gordon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346723079 PECOS PAC ID: 1355686783 Enrollment ID: I20181213000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Gordon, Slp 884 Broadway Ste 5, South Portland, ME 04106-4371 Ph: (207) 358-0065 | Molly Gordon, Slp 884 Broadway Unit 5, South Portland, ME 04106-4371 Ph: (207) 358-0065 |
Susan Bahadori, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 341 Highland Ave # 1, South Portland, ME 04106 Phone: 301-802-8342 | |
Paige Elizabeth St. Germain, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-799-5196 | |
Nancy Entwistle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland School Department, South Portland, ME 04106 Phone: 207-871-0555 Fax: 207-871-0559 | |
Rachel Gips, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 52 Alfred St, South Portland, ME 04106 Phone: 207-799-4845 | |
Robin G Thomas, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 341 Pine St, South Portland, ME 04106 Phone: 207-871-1205 Fax: 207-871-1237 | |
Jennifer Hobbs, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-871-0555 | |
Madison Speech Methods Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Bennett St, South Portland, ME 04106 Phone: 207-730-0850 |