| Doctor Name: | DR. ALAN STUART GORDON |
| NPI Number: | 1538273065 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | SI01000 |
| Business Practice Address: | 196 Princeton Hightstown Rd Building 1 Second Floor Princeton Junction, NJ - 085501672 |
| Business Phone Number: | 6097993866 |
| Business Fax Number: | 6097997930 |
| Mailing Address: | 196 Princeton Hightstown Rd, Building 1 Second Floor PRINCETON JUNCTION |
| State: | NJ |
| Postal Code: | 085501672 |
| Phone Number: | 6097993866 |
| Fax Number: | 6097997930 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | SI01000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |