Organization
ROBERT M. GORDON, PH.D., ABPP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M GORDON PH.D. (PSYCHOLOGIST)
(610) 417-0501
Entity
Organization
Contact information
Practice address
1259 S CEDAR CREST BLVD, SUITE 325, ALLENTOWN, PA 18103-6372
(610) 417-0501
Mailing address
1259 S CEDAR CREST BLVD, SUITE 325, ALLENTOWN, PA 18103-6372
(610) 417-0501
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PS002387L
PA
103T00000X
Psychologist
PS002387L
PA
103TC0700X
Clinical Psychologist
PS002387L
PA
103TC1900X
Counseling Psychologist
PS002387L
PA
103TF0000X
Family Psychologist
PS002387L
PA
103TF0200X
Forensic Psychologist
PS002387L
PA
103TP0814X
Psychoanalysis Psychologist
Primary
PS002387L
PA
103TP2701X
Group Psychotherapy Psychologist
PS002387L
PA
106H00000X
Marriage & Family Therapist
PS002387L
PA
Other
Enumeration date
03/26/2009
Last updated
11/17/2014
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