Gordon, Madeleine Bernice

Gordon, Madeleine Bernice is an individual health care provider with primary practice located at 8 Stedman St , Jamaica Plain MA 02130-3618. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gordon, Madeleine Bernice can be contacted via phone (617) 915-3052.

Contact Information

Primary practice address
8 Stedman St Jamaica Plain MA 02130-3618
Phone: (617) 915-3052
Fax: (617) 675-9566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 11073 Massachusetts

Profile Details

NPI number 1790194942
LBN Legal business name Gordon, Madeleine Bernice
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2014
Last updated May 10th, 2021 - about 4 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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