Gordon, Sheryle D.
Gordon, Sheryle D. is an sole proprietor health care provider with primary practice located at 1409 N. Bishop Street Suite 4-C, San Marcos TX 78666-2675. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Sheryle D. can be contacted via phone (512) 496-5947.Contact Information
Primary practice address
1409 N. Bishop Street Suite 4-C
San Marcos TX 78666-2675
Phone: (512) 496-5947
Fax: (866) 590-5947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25431 | Texas |
Profile Details
| NPI number | 1306937040 |
|---|---|
| LBN Legal business name | Gordon, Sheryle D. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 21st, 2022 - about 4 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 | 1306937040 | NPPES |
| Texas | MEDICAID | 029552903 |
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