Individual
DR. MITCHELL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
2827 RIDGEFIELD CT, JACKSONVILLE, FL 32257-5870
(786) 506-9934
Mailing address
2827 RIDGEFIELD CT, JACKSONVILLE, FL 32257-5870
(786) 506-9934
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2241
FL
103TC0700X
Clinical Psychologist
PY2241
FL
Other
Enumeration date
04/12/2007
Last updated
09/15/2020
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