Clifford I Gordon, ED.D.

NPI #1942306675 in Pascoag, Rhode Island

Provider Information

NPI Number: 1942306675
Entity Type: Individual
Name: Clifford I Gordon, ED.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: ED.D.
Enumeration Date: Sep 16, 2006
Last Updated: Apr 8, 2008

Practice Location

Address: 36 BRIDGE WAY
City: Pascoag
State: Rhode Island
ZIP Code: 02859-3131
Phone: (401) 568-7661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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