Individual
ROBERT M GORDON
Active
Individual
ROBERT M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS002387L
PA
103TC0700X
Clinical Psychologist
Primary
PS002387L
PA
103TC1900X
Counseling Psychologist
PS002387L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS002387L
PA
103TF0000X
Family Psychologist
PS002387L
PA
103TF0200X
Forensic Psychologist
PS002387L
PA
103TP0814X
Psychoanalysis Psychologist
PS002387L
PA
103TP2701X
Group Psychotherapy Psychologist
PS002387L
PA
Other
Enumeration date
06/16/2005
Last updated
03/24/2009
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