Individual
GORDON J. RANKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4734 SYLVANER LN, BIRMINGHAM, AL 35244-2411
(205) 985-9799
Mailing address
4734 SYLVANER LN, BIRMINGHAM, AL 35244-2411
(205) 985-9799
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
724
AL
103TC0700X
Clinical Psychologist
PSY002595
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000075084
—
AL
Enumeration date
11/22/2009
Last updated
11/22/2009
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