Individual provider · Type 1 NPI

Jordan Nicole Gonzalski

Student in an Organized Health Care Education/Training Program · West Yarmouth, MA

NPI number 1093258303 Active

Practice location

579 Buck Island Rd
West Yarmouth, MA 02673-3200

Call (508) 534-8131 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X76675 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093258303

Jordan Nicole Gonzalski's National Provider Identifier is 1093258303, issued on Nov 18, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Yarmouth, MA. The record was last updated on Sep 23, 2019.