Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720203573 Individual Practitioner Female Practitioner

Mary B. Gorgol , MA CCC-SLP

Speech-Language Pathologist • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Mary Gorgol, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Indianapolis, IN. Practice services are available at 4827 E 72ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4827 E 72nd St

Indianapolis, IN 462502501

Telephone 3174356149
Fax 3175703699
Associated Practice Facility / Clinic
🏢 M&m Communications, P.c. Facility NPI 1184933046

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
594 Specialists

Practicing in Indianapolis, IN (3038 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22002678A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Provider Number
200716360A (IN)
Commercial Insurance / Payer ID Rendering Provider Number
200648660 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jennifer Csenar , MS, CCC-SLP

Speech-Language Pathologist

NPI 1831403179

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4827 E 72ND ST, INDIANAPOLIS, IN 462502501 (Tel: 3174356149)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4827 E 72ND ST, INDIANAPOLIS, IN 462502501 (Tel: 3174356149)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY GORGOL, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #22002678A in IN)

🟢
Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720203573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4827 E 72nd St

Indianapolis, IN 462502501

Phone: 3174356149

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.