Individual
ANN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
230 GRAND AVE, STE 204, OAKLAND, CA 94610-4559
(510) 501-5972
(510) 380-6847
Mailing address
230 GRAND AVE, STE 204, OAKLAND, CA 94610-4559
(510) 501-5972
(510) 380-6847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22302
CA
Other
Enumeration date
10/17/2013
Last updated
05/20/2020
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