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

Mary B. Gorgol, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1720203573

Mary B. Gorgol, MACCC-SLP is a Speech-Language Pathologist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007

Practice location Address checks out

4827 E 72nd St
Indianapolis, IN 46250-2501
Phone: (317) 435-6149
Fax: (317) 570-3699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22002678A (IN)

Record details

NPI number1720203573
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4827 E 72nd St, Indianapolis, IN 46250-2501

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