Jonathan D Gordon, PH.D. Valid NPI

Individual provider · Psychologist · Beachwood, OH

NPI

1790299501

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

1358 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-12-01

Last updated

2022-07-27