| Doctor Name: | ALAN R. GORDON |
| NPI Number: | 1104985969 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW. PH.D. |
| License Number: | SW 1967 |
| Business Practice Address: | 797 Beaver Creek Ln Havana, FL - 323334731 |
| Business Phone Number: | 8505394053 |
| Business Fax Number: | |
| Mailing Address: | 797 Beaver Creek Ln, HAVANA |
| State: | FL |
| Postal Code: | 323334731 |
| Phone Number: | 8505394053 |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2006 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 1967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |