Emily C Gordon Phd Pa | |
540 Aiken Rd Asheville NC 28804-8742 | |
(828) 645-1539 | |
(828) 299-0067 |
Full Name | Emily C Gordon Phd Pa |
---|---|
Speciality | Psychologist |
Location | 540 Aiken Rd, Asheville, North Carolina |
Authorized Official Name and Position | Emily C Gordon (OWNER/PRESIDENT) |
Authorized Official Contact | 8286451539 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Emily C Gordon Phd Pa 540 Aiken Rd Asheville NC 28804-8742 Ph: (828) 645-1539 | Emily C Gordon Phd Pa 540 Aiken Rd Asheville NC 28804-8742 Ph: (828) 645-1539 |
NPI Number | 1336398114 |
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Provider Enumeration Date | 09/16/2008 |
Last Update Date | 09/16/2008 |
Medicare PECOS PAC ID | 6608934294 |
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Medicare Enrollment ID | O20090204000710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336398114 | NPI | - | NPPES |
0436K | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2477 (North Carolina) | Primary |
Provider Name | Emily C Gordon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003981051 PECOS PAC ID: 3072545722 Enrollment ID: I20090129000517 |
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