Gordon, Clifford I

Gordon, Clifford I is an individual health care provider with primary practice located at 36 Bridge Way , Pascoag RI 02859-3131. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gordon, Clifford I can be contacted via phone (401) 568-7661.

Contact Information

Primary practice address
36 Bridge Way Pascoag RI 02859-3131
Phone: (401) 568-7661
Fax: (401) 245-5762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00331 Rhode Island

Profile Details

NPI number 1942306675
LBN Legal business name Gordon, Clifford I
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Apr 8th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942306675 NPPES
Rhode Island Other 193805 HARVARD PILGRIM
Rhode Island MEDICAID 7057168 HARVARD PILGRIM
Rhode Island Other 00-5303 HARVARD PILGRIM
Rhode Island Other 0716 HARVARD PILGRIM
Rhode Island Other 411814 HARVARD PILGRIM
Rhode Island Other 61-00445 HARVARD PILGRIM
Rhode Island Other 304940 HARVARD PILGRIM

Popular Providers