Individual
DANIEL M GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1518 WALNUT ST STE 1202, PHILADELPHIA, PA 19102-3407
(215) 735-3540
Mailing address
1518 WALNUT ST STE 1202, PHILADELPHIA, PA 19102-3407
(215) 735-3540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 006922 L
PA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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