Gordon, William Michael

Gordon, William Michael is an sole proprietor health care provider with primary practice located at 224 Lorraine Ave , Upper Montclair NJ 07043-1915. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gordon, William Michael can be contacted via phone (973) 744-8791.

Contact Information

Primary practice address
224 Lorraine Ave Upper Montclair NJ 07043-1915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35S100122800 New Jersey

Profile Details

NPI number 1528080991
LBN Legal business name Gordon, William Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers