Gordon-Dueck, Julie A

Gordon-Dueck, Julie A is an individual health care provider with primary practice located at 125 Schneider Dr , Lebanon PA 17046-4875. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gordon-Dueck, Julie A can be contacted via phone (717) 270-2425.

Contact Information

Primary practice address
125 Schneider Dr Lebanon PA 17046-4875
Phone: (717) 270-2425
Fax: (717) 270-2472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS007868L Pennsylvania

Profile Details

NPI number 1053514737
LBN Legal business name Gordon-Dueck, Julie A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Oct 18th, 2022 - about 3 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 1053514737 NPPES
Pennsylvania MEDICAID 103352242
Pennsylvania Other PS007868L
Pennsylvania Other 11824245

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