Niketa Gordon

NPI #1124420419 in Waldorf, Maryland

Provider Information

NPI Number: 1124420419
Entity Type: Individual
Name: Niketa Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Sep 18, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 4140 OLD WASHINGTON RD
City: Waldorf
State: Maryland
ZIP Code: 20602-3221
Phone: (301) 645-2813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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