Chanelle Gordon, PH.D.

NPI #1023728896 in Omaha, Nebraska

Provider Information

NPI Number: 1023728896
Entity Type: Individual
Name: Chanelle Gordon, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Dec 1, 2022
Last Updated: Dec 1, 2022

Practice Location

Address: 14122 MANDERSON PLZ APT 107
City: Omaha
State: Nebraska
ZIP Code: 68164-6296
Phone: (415) 294-0872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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