Individual
DR. BEVERLY PATRICIA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC, RN
Contact information
Practice address
5 GREAT VALLEY PKWY STE 210, MALVERN, PA 19355-1426
(610) 648-3901
Mailing address
5 GREAT VALLEY PKWY STE 210, MALVERN, PA 19355-1426
(610) 648-3901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012706
PA
Other
Enumeration date
10/22/2019
Last updated
01/28/2021
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