Individual
GINA GORDON-LOPEZ
Active
Individual
GINA GORDON-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2972
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LEP2972
CA
Other
Enumeration date
04/01/2016
Last updated
09/05/2025
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