Organization
GORDON PSYCHOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FREDERICK GORDON (CEO/CLINICAL DIRECTOR)
(917) 324-8439
Entity
Organization
Contact information
Practice address
7545 IRVINE CENTER DR STE 200, IRVINE, CA 92618-2933
(917) 324-8439
Mailing address
7545 IRVINE CENTER DR STE 200, IRVINE, CA 92618-2933
(917) 324-8439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/24/2015
Last updated
05/19/2021
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