Individual
DR. LAURA C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1315 WALNUT ST, #1700, PHILADELPHIA, PA 19107
(215) 625-8893
(215) 545-7113
Mailing address
1315 WALNUT ST, #1700, PHILADELPHIA, PA 19107
(215) 625-8893
(215) 545-7113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
B10000380
DE
103T00000X
Psychologist
Primary
PS007061L
PA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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