Individual
DR. GAIL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9 SHALERS WAY, CHILMARK, MA 02535
(508) 645-2040
Mailing address
9 SHALERS WAY, CHILMARK, MA 02535
(508) 645-2040
(508) 645-8017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6206
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NW05004
BCBS
MA
Enumeration date
08/06/2007
Last updated
08/06/2007
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