Organization
SYLVIA GORDON, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA ANN GORDON PH.D. (PRESIDENT/OWNER)
(734) 994-7147
Entity
Organization
Contact information
Practice address
2127 BROCKMAN BLVD, ANN ARBOR, MI 48104-4529
(734) 994-7147
Mailing address
2127 BROCKMAN BLVD, ANN ARBOR, MI 48104-4529
(734) 994-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001833
MI
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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