Michael A Gordon in Duluth - Psychologist

Michael A Gordon - NPI 1508958489

Michael A Gordon is a Psychologist in Duluth, Georgia. Michael A Gordon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael A Gordon is 1508958489. The last update date is 2022-01-13.

Michael A Gordon's current location address is 3650 Steve Reynolds Blvd, Duluth, Georgia. You can contact this provider via phone number 7709316012. The mailing address for Michael A Gordon is 3650 Steve Reynolds Blvd, Duluth, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael A Gordon
Address 3650 Steve Reynolds Blvd, Duluth, Georgia
Phone Number 7709316012
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1508958489
Provider Enumeration Date 2006-09-29
Last Updated Date 2022-01-13

Provider Mailing Address Detail

Address 3650 Steve Reynolds Blvd
City Duluth
State Georgia (GA)
Post Code 300964506
Phone Number 7709316012
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY002028
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Michael A Gordon

What is the unique 10-digit identification code issued to Michael A Gordon by the Centers for Medicare & Medicaid Services?

The Michael A Gordon has been assigned the NPI (National Provider Identifier) 1508958489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Michael A Gordon is physically located?

The Michael A Gordon is physically situated at the following address: 3650 Steve Reynolds Blvd, Duluth, GA, 300964506.

What is Michael A Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael A Gordon is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508958489 to Michael A Gordon?

The Centers for Medicare & Medicaid Services originally issued the 1508958489 to Michael A Gordon on 2006-09-29.

As of what date was the information pertaining to Michael A Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael A Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-13.

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