Phyllis Lee Gordon in Wallingford - Marriage & Family Therapist
Phyllis Lee Gordon - NPI 1699955856
Phyllis Lee Gordon is a Marriage & Family Therapist in Wallingford, Connecticut. Phyllis Lee Gordon practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Phyllis Lee Gordon is 1699955856. The last update date is 2007-11-05.
Phyllis Lee Gordon's current location address is 61 Cliffside Dr, Wallingford, Connecticut. You can contact this provider via phone number 2032695094. The mailing address for Phyllis Lee Gordon is 61 Cliffside Dr, Wallingford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Lee Gordon |
|---|---|
| Address | 61 Cliffside Dr, Wallingford, Connecticut |
| Phone Number | 2032695094 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1699955856 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 61 Cliffside Dr |
|---|---|
| City | Wallingford |
| State | Connecticut (CT) |
| Post Code | 64921923 |
| Phone Number | 2032695094 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 908 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code assigned to Phyllis Lee Gordon by the Centers for Medicare & Medicaid Services?
The Phyllis Lee Gordon has been issued the NPI (National Provider Identifier) 1699955856, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Phyllis Lee Gordon?
The Phyllis Lee Gordon is physically situated at 61 Cliffside Dr, in the city of Wallingford, state of CT, with the postal code 64921923.
What is Phyllis Lee Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phyllis Lee Gordon is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
When did the Phyllis Lee Gordon receive its 1699955856?
The Phyllis Lee Gordon was issued its 1699955856 on 2007-11-05, which is the date when the organization was assigned this unique identifier.
When was the information regarding Phyllis Lee Gordon most recently updated?
The details pertaining to the Phyllis Lee Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-11-05.