Gordon, Beverly Patricia

Gordon, Beverly Patricia is an sole proprietor health care provider with primary practice located at 5 Great Valley Pkwy Ste 210 , Malvern PA 19355-1426. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gordon, Beverly Patricia can be contacted via phone (610) 648-3901.

Contact Information

Primary practice address
5 Great Valley Pkwy Ste 210 Malvern PA 19355-1426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC012706 Pennsylvania

Profile Details

NPI number 1891338976
LBN Legal business name Gordon, Beverly Patricia
Credentials PSYD, LPC, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2019
Last updated Jan 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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