Gourdine, Vanessa

Gourdine, Vanessa is an individual health care provider with primary practice located at 83 Summit Ave , Hackensack NJ 07601-1262. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gourdine, Vanessa can be contacted via phone (201) 488-6678.

Contact Information

Primary practice address
83 Summit Ave Hackensack NJ 07601-1262
Phone: (201) 488-6678
Fax: (201) 342-4346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 35SIO00563500 New Jersey
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35SI00263500 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 35SI00263500 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00263500 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 35SI00263500 New Jersey
Behavioral Health & Social Service Providers / Health Service 103TH0100X 35SI00263500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00080100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X 26NJ00080100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00080100 New Jersey

Profile Details

NPI number 1205936093
LBN Legal business name Gourdine, Vanessa
Credentials APN-C, PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 26th, 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.

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