Individual
DR. TIMOTHY DAVID GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4102 BEN FRANKLIN BLVD, DURHAM, NC 27704-2140
(919) 972-7700
(877) 256-8588
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2011014431
MO
103TC0700X
Clinical Psychologist
Primary
4784
NC
Other
Enumeration date
08/24/2010
Last updated
06/04/2015
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