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Individual

ROBERT M GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1259 S CEDAR CREST BLVD, STE 325, ALLENTOWN, PA 18103-6206
(610) 821-1072
(610) 821-1072
Mailing address
1259 S CEDAR CREST BLVD, STE 325, ALLENTOWN, PA 18103-6206
(610) 821-1072
(610) 821-1072

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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