Individual
DR. EMILY C GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD CLINICAL PSYCHOL
Contact information
Practice address
540 AIKEN RD, ASHEVILLE, NC 28804-8742
(828) 645-1539
Mailing address
540 AIKEN ROAD, ASHEVILLE, NC 28804-8742
(828) 645-1539
(828) 645-1583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0436K
BCBS
NC
01
—
562151539
TRICARE
—
Enumeration date
11/22/2006
Last updated
11/15/2011
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