Gordon, Desiree Martineay

Gordon, Desiree Martineay is an sole proprietor health care provider with primary practice located at 2370 W Cleveland Ave # 108-320 , Madera CA 93637-8742. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gordon, Desiree Martineay can be contacted via phone (559) 777-9439.

Contact Information

Primary practice address
2370 W Cleveland Ave # 108-320 Madera CA 93637-8742
Phone: (559) 777-9439
Fax: (559) 416-7091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RA897812 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.003764 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 17815 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY28775 California

Profile Details

NPI number 1255683561
LBN Legal business name Gordon, Desiree Martineay
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2012
Last updated Feb 21st, 2024 - about 10 months 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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