Individual
GEOFFREY VANGORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.S.
Contact information
Practice address
1308 LONGFELLOW DR, CANTON, MI 48187-2923
(248) 345-9578
Mailing address
1308 LONGFELLOW DR, CANTON, MI 48187-2923
(248) 345-9578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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