Gordon, Robert

Gordon, Robert is an individual health care provider with primary practice located at 3550 Concord Rd Suite 4, York PA 17402-8626. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gordon, Robert can be contacted via phone (717) 851-6340.

Contact Information

Primary practice address
3550 Concord Rd Suite 4 York PA 17402-8626
Fax: (717) 851-6349
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002355L Pennsylvania
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS002355L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS002355L Pennsylvania

Profile Details

NPI number 1417991225
LBN Legal business name Gordon, Robert
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 13th, 2016 - about 8 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 1417991225 NPPES
Pennsylvania Other 2176815 CIGNA BEHAVIORAL HEALTH
Pennsylvania Other 01097501 CIGNA BEHAVIORAL HEALTH
Pennsylvania Other 119323 CIGNA BEHAVIORAL HEALTH
Pennsylvania Other 279849000 CIGNA BEHAVIORAL HEALTH
Pennsylvania Other GO154450 CIGNA BEHAVIORAL HEALTH

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