MRS. JENNY LYLE GORDON
NPI 1710161179
Speech-Language Pathologist in Carrollton, GA

Active since December 20, 2007
121B LEE ST, CARROLLTON, GA 30117(770) 830-8622(770) 832-9031 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jenny Lyle Gordon NPPES

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

MRS. JENNY LYLE GORDON (NPI 1710161179) is an individual speech-language pathologist provider in Carrollton, Georgia, licensed in Georgia (SLP006776) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1710161179
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JENNY LYLE GORDON
Location Address121B LEE STCarrollton, GA 30117-3314
Mailing Address2548 Old Newnan RdCarrollton, GA 30116-9020
Fax(770) 832-9031
Sole ProprietorYes
Enumeration DateDecember 20, 2007
Last NPPES UpdateMay 15, 2008
NPI 1710161179 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 · SLP006776
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.
121B LEE ST, Carrollton, GA 30117

Other Identifiers 1

Medicaid126664544AGA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
121B LEE ST
CARROLLTON, GA 30117
Speech-Language Pathologist
121B LEE ST
CARROLLTON, GA 30117
Occupational Therapist
121B LEE ST
CARROLLTON, GA 30117
Speech-Language Pathologist
121B LEE ST
CARROLLTON, GA 30117
Speech-Language Pathologist
121B LEE ST
CARROLLTON, GA 30117
Speech-Language Pathologist
121B LEE ST
CARROLLTON, GA 30117
Speech-Language Pathologist
121B LEE ST
CARROLLTON, GA 30117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Gordon's NPI number?

The NPI number for Jenny Gordon is 1710161179. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Jenny Gordon located?

Jenny Gordon practices at 121B Lee St, Carrollton, GA 30117. The listed phone number is (770) 830-8622.

What is Jenny Gordon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jenny Gordon was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.