| Gordon Psychotherapy, P.c. | |
|
1568 Creekside Dr Suite #206 Folsom CA 95630-3449 | |
| (916) 984-9148 | |
| (916) 933-9068 |
| Full Name | Gordon Psychotherapy, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1568 Creekside Dr, Folsom, California |
| Authorized Official Name and Position | David A Gordon (OWNER - VICE- PRESIDENT) |
| Authorized Official Contact | 9169849148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Psychotherapy, P.c. 1568 Creekside Dr Suite #206 Folsom CA 95630-3449 Ph: (916) 984-9148 | Gordon Psychotherapy, P.c. 1568 Creekside Dr Suite #206 Folsom CA 95630-3449 Ph: (916) 984-9148 |
| NPI Number | 1255541074 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255541074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY6640 (California) | Primary |
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