Gordon-Davis, Karen Lee
Gordon-Davis, Karen Lee is an sole proprietor health care provider with primary practice located at 1501 Sulgrave Ave 206, Baltimore MD 21209-3654. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Psychoanalyst is her primary health care specialty. Gordon-Davis, Karen Lee can be contacted via phone (410) 664-6700.Contact Information
Primary practice address
1501 Sulgrave Ave 206
Baltimore MD 21209-3654
Phone: (410) 664-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | R038816 | Maryland |
Profile Details
| NPI number | 1194937532 |
|---|---|
| LBN Legal business name | Gordon-Davis, Karen Lee |
| Credentials | PHD, APRN,BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194937532 | NPPES |
| District of Columbia | Other | H2710001 | BLUE CROSS |
| District of Columbia | Other | PN28 | BLUE CROSS |
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