Cheour Gordon, Marie K

Cheour Gordon, Marie K is an individual health care provider with primary practice located at 8105 Nw 111Th Ter , Parkland FL 33076-4730. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Cheour Gordon, Marie K can be contacted via phone (561) 345-9931.

Contact Information

Primary practice address
8105 Nw 111Th Ter Parkland FL 33076-4730
Phone: (561) 345-9931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X PY 9641 Florida
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY 9641 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 9641 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY 9641 Florida
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PY 9641 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 9641 Florida

Profile Details

NPI number 1801343165
LBN Legal business name Cheour Gordon, Marie K
Credentials PHD, PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2016
Last updated Apr 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801343165 NPPES
Florida MEDICAID 019810000

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