| Nori Gordon, Psyd Llc | |
|
36 Welles St Suite 210 Glastonbury CT 06033-2080 | |
| (860) 657-0668 | |
| Not Available |
| Full Name | Nori Gordon, Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 36 Welles St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Nori Gordon (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8606570668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nori Gordon, Psyd Llc 36 Welles St Suite 210 Glastonbury CT 06033-2080 Ph: () - | Nori Gordon, Psyd Llc 36 Welles St Suite 210 Glastonbury CT 06033-2080 Ph: (860) 657-0668 |
| NPI Number | 1598013161 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 10/12/2012 |
| Medicare PECOS PAC ID | 2860642725 |
|---|---|
| Medicare Enrollment ID | O20121031000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598013161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2362 (Connecticut) | Primary |
| Provider Name | Nori Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952451890 PECOS PAC ID: 3678723541 Enrollment ID: I20121031000053 |
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