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Individual

DR. ELIZABETH AMY GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1845 WALNUT ST, 15TH FLOOR, PHILADELPHIA, PA 19103-4708
(267) 225-7579
Mailing address
1845 WALNUT ST, 15TH FLOOR, PHILADELPHIA, PA 19103-4708
(267) 225-7579

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PS017992
PA
103TC0700X
Clinical Psychologist
Primary
PS017992
PA

Other

Enumeration date
01/12/2016
Last updated
01/12/2016
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