William Michael Gordon PH.D.

NPI 1528080991 - Psychologist - 103T00000X

NPI Details
NPI 1528080991
Gender Male
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
224 LORRAINE AVE
UPPER MONTCLAIR NJ, 07043-1915, US
Phone (973) 744-8791
Fax
Business Location
224 LORRAINE AVE
UPPER MONTCLAIR NJ, 07043-1915, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New Jersey
License Number 35S100122800
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According to our database, Dr. William Michael Gordon PH.D. NPI is 1528080991, taxonomy code is 103T00000X and license number is 35S100122800, license state is located at New Jersey. William Michael Gordon PH.D. physically located at 224 Lorraine Ave, Upper Montclair NJ, 07043-1915. NPI Number William Michael Gordon PH.D. has the Individual type.

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1528080991 NPI number is provided on an as is basis without warranty of any kind. 1528080991 is maintained by the National Plan & Provider Enumeration System. The contents of William Michael Gordon PH.D. are for informational purposes only.