Organization
MADELEINE GORDON, PSY.D., LLC
Active
Other names
Madeleine Gordon PsyD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELEINE BERNICE GORDON PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(617) 915-3052
Entity
Organization
Contact information
Practice address
8 STEDMAN ST, JAMAICA PLAIN, MA 02130-3618
(617) 915-3052
(617) 675-9566
Mailing address
8 STEDMAN ST, JAMAICA PLAIN, MA 02130-3618
(617) 915-3052
(617) 675-9566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/13/2020
Last updated
05/10/2021
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