Gordon, Rebecca Jacobs

Gordon, Rebecca Jacobs is an sole proprietor health care provider with primary practice located at 31 Cherry St Suite 101, Milford CT 06460-3465. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gordon, Rebecca Jacobs can be contacted via phone (203) 727-0825.

Contact Information

Primary practice address
31 Cherry St Suite 101 Milford CT 06460-3465
Phone: (203) 727-0825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 019720 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3283 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3283 Connecticut

Profile Details

NPI number 1841524592
LBN Legal business name Gordon, Rebecca Jacobs
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2009
Last updated Oct 2nd, 2014 - about 11 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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