Individual
DR. JONATHAN D GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
WEINSTEIN & ASSOCIATES, INC, 25700 SCIENCE PARK DR., STE. 200, BEACHWOOD, OH 44122
(216) 831-1040
(216) 831-2667
Mailing address
C/O WEINSTEIN & ASSOCIATES, INC., 25700 SCIENCE PARK DR., STE. 200, BEACHWOOD, OH 44122
(216) 831-1040
(216) 342-4939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1358
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1358
NJ
103TB0200X
Cognitive & Behavioral Psychologist
1358
NJ
103TC0700X
Clinical Psychologist
1358
NJ
103TC1900X
Counseling Psychologist
1358
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
1358
NJ
103TF0000X
Family Psychologist
1358
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5614
PSYCHOLOGIST
NY
01
—
7540
PSYCHOLOGIST
OH
01
—
SIO1358
PSYCHOLOGIST
NJ
Enumeration date
12/01/2017
Last updated
07/27/2022
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