ANGELA GORDON VICK M.ED, CCC-SLP
NPI 1174695019
Speech-Language Pathologist in Leesburg, GA

Active since November 15, 2006
244 LONG PINE DR, LEESBURG, GA 31763(229) 395-9255 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Angela Gordon Vick M.ed, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA GORDON VICK M.ED, CCC-SLP (NPI 1174695019) is an individual speech-language pathologist provider in Leesburg, Georgia, licensed in Georgia (SLP004869) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1174695019
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANGELA GORDON VICKCredential: M.ED, CCC-SLP
Location Address244 LONG PINE DRLeesburg, GA 31763-3175
Mailing Address244 Long Pine DrLeesburg, GA 31763-3175 · (229) 395-9255
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174695019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP004869
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

244 LONG PINE DR, Leesburg, GA 31763

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174695019, enumerated as an "individual" on November 15, 2006.

The provider is located at 244 LONG PINE DR LEESBURG, GA 31763 and the phone number is (229) 395-9255.

Speech-Language Pathologist with taxonomy code 235Z00000X.