Healthcare Provider Details

I. General information

NPI: 1801724448
Provider Name (Legal Business Name): CATHERINE EMERICH GORDON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1252 W 11TH AVE
DENVER CO
80204-3431
US

IV. Provider business mailing address

1252 W 11TH AVE
DENVER CO
80204-3431
US

V. Phone/Fax

Practice location:
  • Phone: 720-317-8303
  • Fax: 862-421-9083
Mailing address:
  • Phone: 720-317-8303
  • Fax: 862-421-9083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP0001185
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: