Organization
ELSIE M. GORDON, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSIE MANAGBANAG GORDON PH.D. (PSYCHOLOGIST)
(240) 750-8847
Entity
Organization
Contact information
Practice address
13-15 E DEER PARK DR STE 103D, GAITHERSBURG, MD 20877-2070
(240) 750-8847
Mailing address
13-15 E DEER PARK DR STE 103D, GAITHERSBURG, MD 20877-2070
(240) 750-8847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04451
MD
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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