Gordon, Lynn Marie

Gordon, Lynn Marie is an individual health care provider with primary practice located at 19375 Highway 116 , Monte Rio CA 95462. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gordon, Lynn Marie can be contacted via phone (707) 865-1200.

Contact Information

Primary practice address
19375 Highway 116 Monte Rio CA 95462
Phone: (707) 865-1200
Fax: (707) 865-3151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PSB 32692 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 26528 California

Profile Details

NPI number 1841413713
LBN Legal business name Gordon, Lynn Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 7th, 2014 - about 10 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 1841413713 NPPES
California Other PSB 32692 PSYCHOLOGICAL ASSISTANT
California Other PSY 26528 PSYCHOLOGICAL ASSISTANT

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