Suzette Lorraine Gordon, NM LSP

NPI #1831346469 in Aztec, New Mexico

Provider Information

NPI Number: 1831346469
Entity Type: Individual
Name: Suzette Lorraine Gordon, NM LSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: NM LSP
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

Address: 1607 W. AZTEC BLVD.
Address 2: AZTEC MUNICIPAL SCHOOLS
City: Aztec
State: New Mexico
ZIP Code: 87410
Phone: (505) 334-1730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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