Niketa Gordon

Speech-Language Pathologist · Waldorf, MD

Individual Active NPI

NPI number 1124420419

Practice location

4140 Old Washington Rd
Waldorf, MD 20602-3221
Phone
(301) 645-2813
Fax
(301) 645-9317

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NPI record

NPI
1124420419
Entity type
Individual (Type 1)
Enumeration date
September 18, 2014
Last updated
September 23, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 01028L MD

About Niketa Gordon

Niketa Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 4140 Old Washington Rd, Waldorf, MD 20602-3221. The NPI number 1124420419 was assigned on September 18, 2014 and the record was last updated on September 23, 2014.

Niketa Gordon lists a license in the registry: #01028L (MD) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Niketa Gordon?

The NPI number is 1124420419.

What is the phone number of Niketa Gordon?

The phone number listed for the practice location is (301) 645-2813.

Where is Niketa Gordon located?

4140 Old Washington Rd, Waldorf, MD 20602-3221.

What is the taxonomy code for Niketa Gordon?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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