Gordon, Shalanda Nichelle

Gordon, Shalanda Nichelle is an sole proprietor health care provider with primary practice located at 8632 Fredericksburg Road Suite 218, San Antonio TX 78240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gordon, Shalanda Nichelle can be contacted via phone (210) 202-0606.

Contact Information

Primary practice address
8632 Fredericksburg Road Suite 218 San Antonio TX 78240
Phone: (210) 202-0606
Fax: (844) 895-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 34687 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 34687 Texas

Profile Details

NPI number 1649500463
LBN Legal business name Gordon, Shalanda Nichelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2009
Last updated Apr 1st, 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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