Gordon, Alan Howard

Gordon, Alan Howard is an sole proprietor health care provider with primary practice located at 45 Walpole St Ste 6, Norwood MA 02062-3319. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gordon, Alan Howard can be contacted via phone (781) 769-1646.

Contact Information

Primary practice address
45 Walpole St Ste 6 Norwood MA 02062-3319
Phone: (781) 769-1646
Fax: (781) 769-4696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2572 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2572 Massachusetts

Profile Details

NPI number 1689760654
LBN Legal business name Gordon, Alan Howard
Credentials EDD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Nov 29th, 2017 - about 7 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 1689760654 NPPES
Massachusetts MEDICAID 0520896
Massachusetts Other W02873
Massachusetts Other 109343
Massachusetts Other 719788

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