Organization
EMILY C GORDON PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY C GORDON PHD CLINICAL PSYCHOL (OWNER/PRESIDENT)
(828) 645-1539
Entity
Organization
Contact information
Practice address
540 AIKEN RD, ASHEVILLE, NC 28804-8742
(828) 645-1539
(828) 299-0067
Mailing address
540 AIKEN RD, ASHEVILLE, NC 28804-8742
(828) 645-1539
(828) 299-0067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0436K
BCBS
NC
Enumeration date
09/16/2008
Last updated
09/16/2008
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