Gordon, William Michael
Gordon, William Michael is an sole proprietor health care provider with primary practice located at 224 Lorraine Ave , Upper Montclair NJ 07043-1915. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gordon, William Michael can be contacted via phone (973) 744-8791.Contact Information
Primary practice address
224 Lorraine Ave
Upper Montclair NJ 07043-1915
Phone: (973) 744-8791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35S100122800 | New Jersey |
Profile Details
| NPI number | 1528080991 |
|---|---|
| LBN Legal business name | Gordon, William Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| 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.
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