Individual
LINDSAY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(800) 442-2762
Mailing address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5729
NC
Other
Enumeration date
06/09/2017
Last updated
09/18/2020
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