La Faune Yvette Gordon in Redondo Beach - Clinical
La Faune Yvette Gordon - NPI 1144305996
La Faune Yvette Gordon is a Clinical in Redondo Beach, California. La Faune Yvette Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for La Faune Yvette Gordon is 1144305996. The last update date is 2008-09-09.
La Faune Yvette Gordon's current location address is 1525 Aviation Blvd # 389, Redondo Beach, California. You can contact this provider via phone number 3102817359. The mailing address for La Faune Yvette Gordon is 1525 Aviation Blvd # 389, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | La Faune Yvette Gordon |
|---|---|
| Address | 1525 Aviation Blvd # 389, Redondo Beach, California |
| Phone Number | 3102817359 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1144305996 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2008-09-09 |
Provider Mailing Address Detail
| Address | 1525 Aviation Blvd # 389 |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902782805 |
| Phone Number | 3102817359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14560 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to La Faune Yvette Gordon by the Centers for Medicare & Medicaid Services?
The La Faune Yvette Gordon has been issued the NPI (National Provider Identifier) 1144305996, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where La Faune Yvette Gordon is physically located?
The La Faune Yvette Gordon is physically situated at the following address: 1525 Aviation Blvd # 389, Redondo Beach, CA, 902782805.
What is La Faune Yvette Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for La Faune Yvette Gordon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144305996 to La Faune Yvette Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1144305996 to La Faune Yvette Gordon on 2006-10-26.
As of what date was the information regarding La Faune Yvette Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to La Faune Yvette Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-09.
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