Sandra Patton Gordon in Wormleysburg - Clinical
Sandra Patton Gordon - NPI 1629076286
Sandra Patton Gordon is a Clinical in Wormleysburg, Pennsylvania. Sandra Patton Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Patton Gordon is 1629076286. The last update date is 2007-07-08.
Sandra Patton Gordon's current location address is 1013 Mumma Rd, Wormleysburg, Pennsylvania. You can contact this provider via phone number 7179751808 and fax number 7179755160. The mailing address for Sandra Patton Gordon is 1013 Mumma Rd, Wormleysburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Patton Gordon |
|---|---|
| Address | 1013 Mumma Rd, Wormleysburg, Pennsylvania |
| Phone Number | 7179751808 |
| Fax Number | 7179755160 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629076286 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1013 Mumma Rd |
|---|---|
| City | Wormleysburg |
| State | Pennsylvania (PA) |
| Post Code | 170431144 |
| Phone Number | 7179751808 |
| Fax Number | 7179755160 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW014019 |
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What is the unique 10-digit identification code assigned to Sandra Patton Gordon by the Centers for Medicare & Medicaid Services?
The Sandra Patton Gordon has been issued the NPI (National Provider Identifier) 1629076286, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sandra Patton Gordon's physical address?
The Sandra Patton Gordon is physically located at 1013 Mumma Rd, in the city of Wormleysburg, PA, with the postal code 170431144.
What is the Sandra Patton Gordon's specialty and taxonomy code?
The Sandra Patton Gordon's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Sandra Patton Gordon receive its 1629076286 assignment?
The Sandra Patton Gordon was assigned its 1629076286 on 2005-07-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Sandra Patton Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sandra Patton Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY