Gordon, Lara Suzanne

Gordon, Lara Suzanne is an sole proprietor health care provider with primary practice located at 6 Chelsea Pl Ste 202 , Clifton Park NY 12065-3236. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gordon, Lara Suzanne can be contacted via phone (518) 878-3184.

Contact Information

Primary practice address
6 Chelsea Pl Ste 202 Clifton Park NY 12065-3236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 027222 New York

Profile Details

NPI number 1033909932
LBN Legal business name Gordon, Lara Suzanne
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2025
Last updated May 12th, 2025 - about last year

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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