Doctor Name: | ARLENE GORDON |
NPI Number: | 1265722755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 35S100292100 |
Business Practice Address: | 81 Hillside Ave Short Hills, NJ - 070782053 |
Business Phone Number: | 9733760883 |
Business Fax Number: | 3024228697 |
Mailing Address: | 81 Hillside Ave, SHORT HILLS |
State: | NJ |
Postal Code: | 070782053 |
Phone Number: | 9733760883 |
Fax Number: | 3024228697 |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35S100292100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |