Organization
CLINICAL & FORENSIC NEUROPSYCHOLOGY SERVICES LLC
Active
Organization
CLINICAL & FORENSIC NEUROPSYCHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HEATH GORDON PHD (MANAGER)
(601) 869-5898
Entity
Organization
Contact information
Practice address
357 TOWNE CENTER BLVD STE 403, RIDGELAND, MS 39157-4844
(601) 869-5898
(601) 589-0825
Mailing address
PO BOX 2427, MADISON, MS 39130-2427
(601) 869-5898
(601) 589-0825
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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