Gourdine, Vanessa
Gourdine, Vanessa is an individual health care provider with primary practice located at 83 Summit Ave , Hackensack NJ 07601-1262. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gourdine, Vanessa can be contacted via phone (201) 488-6678.Contact Information
Primary practice address
83 Summit Ave
Hackensack NJ 07601-1262
Phone: (201) 488-6678
Fax: (201) 342-4346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 35SIO00563500 | New Jersey |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35SI00263500 | New Jersey |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 35SI00263500 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00263500 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 35SI00263500 | New Jersey |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 35SI00263500 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NJ00080100 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | 26NJ00080100 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 26NJ00080100 | New Jersey |
Profile Details
| NPI number | 1205936093 |
|---|---|
| LBN Legal business name | Gourdine, Vanessa |
| Credentials | APN-C, PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Sep 26th, 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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