Gordon, Michael A
Gordon, Michael A is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd Department Of Behavioral Health, Duluth GA 30096-4506. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gordon, Michael A can be contacted via phone (770) 931-6012.Contact Information
Primary practice address
3650 Steve Reynolds Blvd Department Of Behavioral Health
Duluth GA 30096-4506
Phone: (770) 931-6012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY002028 | Georgia |
Profile Details
| NPI number | 1508958489 |
|---|---|
| LBN Legal business name | Gordon, Michael A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jan 13th, 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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