# DR. VANESSA GOURDINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205936093
- **Gender:** F
- **Credential:** APN-C, PSYD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | 35SIO00563500 | NJ | — |
| 103T00000X | Psychologist | 35SI00263500 | NJ | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 35SI00263500 | NJ | — |
| 103TC0700X | Clinical Psychologist | 35SI00263500 | NJ | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 35SI00263500 | NJ | — |
| 103TH0100X | Health Service Psychologist | 35SI00263500 | NJ | — |
| 363LF0000X | Family Nurse Practitioner | 26NJ00080100 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00080100 | NJ | Yes |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 26NJ00080100 | NJ | — |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 09/26/2022