Organization
GORDON PSYCHOTHERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A GORDON PH.D (OWNER - VICE- PRESIDENT)
(916) 984-9148
Entity
Organization
Contact information
Practice address
1568 CREEKSIDE DR, SUITE #206, FOLSOM, CA 95630-3449
(916) 984-9148
(916) 933-9068
Mailing address
1568 CREEKSIDE DR, SUITE #206, FOLSOM, CA 95630-3449
(916) 984-9148
(916) 933-9068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY6640
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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