Judy Ellen Gordon in Ellicott City - Mental Health
Judy Ellen Gordon - NPI 1013006410
Judy Ellen Gordon is a Mental Health in Ellicott City, Maryland. Judy Ellen Gordon practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Judy Ellen Gordon is 1013006410. The last update date is 2016-05-11.
Judy Ellen Gordon's current location address is 5006 Dorsey Hall Dr, Ellicott City, Maryland. You can contact this provider via phone number 4436042741. The mailing address for Judy Ellen Gordon is 5006 Dorsey Hall Dr, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Ellen Gordon |
|---|---|
| Address | 5006 Dorsey Hall Dr, Ellicott City, Maryland |
| Phone Number | 4436042741 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.M.H.C. |
NPI Number Detail
| NPI Number | 1013006410 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2016-05-11 |
Provider Mailing Address Detail
| Address | 5006 Dorsey Hall Dr |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210427737 |
| Phone Number | 4436042741 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 294 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Judy Ellen Gordon by the Centers for Medicare & Medicaid Services?
The Judy Ellen Gordon has been assigned the NPI (National Provider Identifier) 1013006410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Judy Ellen Gordon located?
The Judy Ellen Gordon is located at 5006 Dorsey Hall Dr, Ellicott City, MD 210427737.
What is the area of specialization for Judy Ellen Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Judy Ellen Gordon is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013006410 to Judy Ellen Gordon?
The Judy Ellen Gordon received its 1013006410 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details related to Judy Ellen Gordon most recently updated or revised?
The information pertaining to Judy Ellen Gordon, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-11.
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