Gordon, Elizabeth Amy

Gordon, Elizabeth Amy is an sole proprietor health care provider with primary practice located at 1845 Walnut St 15Th Floor, Philadelphia PA 19103-4708. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gordon, Elizabeth Amy can be contacted via phone (267) 225-7579.

Contact Information

Primary practice address
1845 Walnut St 15Th Floor Philadelphia PA 19103-4708
Phone: (267) 225-7579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS017992 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS017992 Pennsylvania

Profile Details

NPI number 1336505957
LBN Legal business name Gordon, Elizabeth Amy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2016
Last updated Jan 12th, 2016 - about 10 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.

Request for update

Popular Providers