Carol Ellen Gordon in Arlington Heights - Clinical

Carol Ellen Gordon - NPI 1184632457

Carol Ellen Gordon is a Clinical in Arlington Heights, Illinois. Carol Ellen Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Ellen Gordon is 1184632457. The last update date is 2021-08-30.

Carol Ellen Gordon's current location address is 3255 N Arlington Heights Rd Ste 502, Arlington Heights, Illinois. You can contact this provider via phone number 8478154299 and fax number 8474188948. The mailing address for Carol Ellen Gordon is 3255 N Arlington Heights Rd Ste 502, Arlington Heights, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Ellen Gordon
Address 3255 N Arlington Heights Rd Ste 502, Arlington Heights, Illinois
Phone Number 8478154299
Fax Number 8474188948
Sole Proprietor Y
Credentials PSY.D.,CAD

NPI Number Detail

NPI Number 1184632457
Provider Enumeration Date 2006-08-03
Last Updated Date 2021-08-30

Provider Mailing Address Detail

Address 3255 N Arlington Heights Rd Ste 502
City Arlington Heights
State Illinois (IL)
Post Code 600041586
Phone Number 8478154299
Fax Number 8474188948

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 071-005540
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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FAQs about Carol Ellen Gordon

What is the unique 10-digit identification code assigned to Carol Ellen Gordon by the Centers for Medicare & Medicaid Services?

The Carol Ellen Gordon has been issued the NPI (National Provider Identifier) 1184632457, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Carol Ellen Gordon's facilities are geographically located?

The facilities of Carol Ellen Gordon are physically situated at the following location: 3255 N Arlington Heights Rd Ste 502, Arlington Heights, IL, 600041586.

What is the area of specialization for Carol Ellen Gordon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carol Ellen Gordon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184632457 to Carol Ellen Gordon?

The Carol Ellen Gordon received its 1184632457 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.

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

The information related to Carol Ellen Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-08-30.

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