Individual
DR. SUSAN MERLE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
234 BRYN MAWR AVENUE, SUITE 202, BRYN MAWR, PA 19010
(610) 783-1994
Mailing address
21138 VALLEY FORGE CIRCLE, KING OF PRUSSIA, PA 19406
(610) 783-1994
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006394L
PA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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