Individual
CAROLYN H GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LMFT
Contact information
Practice address
1251 S CEDAR CREST BLVD, SUITE 103B, ALLENTOWN, PA 18103-6205
(610) 776-7510
Mailing address
1251 S CEDAR CREST BLVD, SUITE 103B, ALLENTOWN, PA 18103-6205
(610) 776-7510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50012452
CAPITAL BLUE CROSS
PA
Enumeration date
08/12/2006
Last updated
07/08/2007
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