Mitchell Gordon in Jacksonville - Psychologist

Mitchell Gordon - NPI 1669696365

Mitchell Gordon is a Psychologist in Jacksonville, Florida. Mitchell Gordon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mitchell Gordon is 1669696365. The last update date is 2020-09-15.

Mitchell Gordon's current location address is 2827 Ridgefield Ct, Jacksonville, Florida. You can contact this provider via phone number 7865069934. The mailing address for Mitchell Gordon is 2827 Ridgefield Ct, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell Gordon
Address 2827 Ridgefield Ct, Jacksonville, Florida
Phone Number 7865069934
Fax Number
Sole Proprietor Y
Credentials PH.D., ABP

NPI Number Detail

NPI Number 1669696365
Provider Enumeration Date 2007-04-12
Last Updated Date 2020-09-15

Provider Mailing Address Detail

Address 2827 Ridgefield Ct
City Jacksonville
State Florida (FL)
Post Code 322575870
Phone Number 7865069934
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY2241
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 Mitchell Gordon

What is the unique provider identifier assigned to Mitchell Gordon?

The Mitchell Gordon has been issued the NPI (National Provider Identifier) 1669696365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mitchell Gordon's facilities are situated?

The facilities of Mitchell Gordon are physically located at the following address: 2827 Ridgefield Ct, Jacksonville, FL, 322575870.

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

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

When did Mitchell Gordon receive its 1669696365 assignment?

The Mitchell Gordon was assigned its 1669696365 on 2007-04-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding Mitchell Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mitchell Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-15.

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