Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hayden Gandolfi

Individual provider Speech-Language Pathologist · NPI 1720722218

Hayden Gandolfi is a Qualified Speech Language Pathologist in Longview, Washington. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

2715 Lilac St
Longview, WA 98632-3526
Phone: (360) 575-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101007378 (MI)

Record details

NPI number1720722218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing address27077 Dartmouth St, Madison Heights, MI 48071-3235

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Longview