Individual
SHANNON GORDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
502 N BLAKELY ST, DUNMORE, PA 18512-1943
(570) 342-8434
Mailing address
1251 WYOMING AVE, EXETER, PA 18643-1434
(570) 342-8434
(570) 299-2521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019950
PA
Other
Enumeration date
08/01/2023
Last updated
10/04/2023
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