Gordon, Shannon F

Gordon, Shannon F is an individual health care provider with primary practice located at 55 Lake Ave N Umass Memorial Medical Center, Psychiatry, Worcester MA 01655-0002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Shannon F can be contacted via phone (774) 442-2671.

Contact Information

Primary practice address
55 Lake Ave N Umass Memorial Medical Center, Psychiatry Worcester MA 01655-0002
Phone: (774) 442-2671
Fax: (774) 442-5303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116366 Massachusetts

Profile Details

NPI number 1134486426
LBN Legal business name Gordon, Shannon F
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 14 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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