Beth J Gordon is a Clinical in Ithaca, New York. Beth J Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beth J Gordon is 1558517243. The last update date is 2019-04-15.
Beth J Gordon's current location address is 127 W State St Fl 1, Ithaca, New York. You can contact this provider via phone number 6072737494. The mailing address for Beth J Gordon is 127 W State St Fl 1, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth J Gordon |
|---|---|
| Address | 127 W State St Fl 1, Ithaca, New York |
| Phone Number | 6072737494 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1558517243 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2019-04-15 |
Provider Mailing Address Detail
| Address | 127 W State St Fl 1 |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148505474 |
| Phone Number | 6072737494 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20048 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20048 | NY | NEW YORK LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Beth J Gordon by the Centers for Medicare & Medicaid Services?
The Beth J Gordon has been assigned the NPI (National Provider Identifier) 1558517243 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Beth J Gordon's facilities are situated?
The facilities of Beth J Gordon are physically located at the following address: 127 W State St Fl 1, Ithaca, NY, 148505474.
What is Beth J Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Beth J Gordon's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Beth J Gordon receive its 1558517243 assignment from the Centers for Medicare & Medicaid Services?
The Beth J Gordon was assigned its 1558517243 by the Centers for Medicare & Medicaid Services on 2008-08-13.
When was the information regarding Beth J Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Beth J Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-04-15.
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