Individual
JENNIFER ERIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 E BROAD ST, 11TH FL. ATTN: MARY KYLE, COLUMBUS, OH 43215-3414
(614) 466-9930
(614) 644-9116
Mailing address
30 E BROAD ST, 11 TH FL., COLUMBUS, OH 43215-3414
(614) 466-9930
(614) 644-9116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361
OH
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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