Robert M Gordon in Allentown - Clinical Child & Adolescent

Robert M Gordon - NPI 1225033384

Robert M Gordon is a Clinical Child & Adolescent in Allentown, Pennsylvania. Robert M Gordon practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Robert M Gordon is 1225033384. The last update date is 2009-03-24.

Robert M Gordon's current location address is 1259 S Cedar Crest Blvd, Allentown, Pennsylvania. You can contact this provider via phone number 6108211072 and fax number 6108211072. The mailing address for Robert M Gordon is 1259 S Cedar Crest Blvd, Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert M Gordon
Address 1259 S Cedar Crest Blvd, Allentown, Pennsylvania
Phone Number 6108211072
Fax Number 6108211072
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1225033384
Provider Enumeration Date 2005-06-16
Last Updated Date 2009-03-24

Provider Mailing Address Detail

Address 1259 S Cedar Crest Blvd
City Allentown
State Pennsylvania (PA)
Post Code 1810362060
Phone Number 6108211072
Fax Number 6108211072

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PS002387L
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Robert M Gordon

What is the Robert M Gordon's unique identification number?

The Robert M Gordon has been assigned the NPI (National Provider Identifier) Number 1225033384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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

The facilities of Robert M Gordon are physically situated at the following location: 1259 S Cedar Crest Blvd, Allentown, PA, 1810362060.

What is the Robert M Gordon's specialty and taxonomy code?

The Robert M Gordon's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did the Robert M Gordon receive the assignment of its 1225033384 from the Centers for Medicare & Medicaid Services?

The Robert M Gordon was issued its 1225033384 by the Centers for Medicare & Medicaid Services on 2005-06-16.

When was the information related to Robert M Gordon most recently updated or refreshed?

The details pertaining to the Robert M Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-24.

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