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Individual

DR. VANESSA GOURDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-C, PSYD

Contact information

Practice address
83 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 488-6678
(201) 342-4346
Mailing address
PO BOX 746, FRANKLIN LAKES, NJ 07417-0746
(201) 488-6678
(201) 342-4346

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
35SIO00563500
NJ
103T00000X
Psychologist
35SI00263500
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35SI00263500
NJ
103TC0700X
Clinical Psychologist
35SI00263500
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00263500
NJ
103TH0100X
Health Service Psychologist
35SI00263500
NJ
363LF0000X
Family Nurse Practitioner
26NJ00080100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00080100
NJ
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
26NJ00080100
NJ

Other

Enumeration date
09/22/2006
Last updated
09/26/2022
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