Active NPIIndividual providerSole proprietor

Dr. Alan H Gordon, EDD

Clinical Neuropsychologist in Norwood, Massachusetts

NPI Number1689760654
Practice location
45 Walpole St, Ste 6, Norwood, MA 02062-3319
Fax
781-769-4696
Last updated
November 29, 2017

Alan Howard Gordon is a Clinical Neuropsychologist based in Norwood, MA. Alan Howard Gordon practices in Norwood, MA and has the professional credentials of EDD. The NPI Number for Alan Howard Gordon is 1689760654 and holds a License No. 2572 (MA). The current practice location address for Alan Howard Gordon is 45 Walpole St, Ste 6, Norwood, MA 02062-3319 and can be reached out via phone at 781-769-1646 and via fax at 781-769-4696.

Provider Profile Details

NPI Number
1689760654
Provider Name
Alan Howard Gordon
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
45 Walpole St, Ste 6, Norwood, MA 02062-3319
Phone Number
781-769-1646
Fax Number
781-769-4696
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2006
Last Update Date
November 29, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Walpole St
Ste 6
Norwood, MA 02062-3319
Zip
02062-3319
Phone Number
781-769-1646
Fax Number
781-769-4696
Norwood, MA 02062Get directions →

Provider Business Mailing Address Details

Address
45 Walpole St
Ste 6
Norwood, MA 02062-3319
City
Norwood
State
MA
Zip
02062-3319
Phone Number
781-769-1646
Fax Number
781-769-4696

License Information

License Number (1)
2572
License State (1)
MA
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X · Primary
License Number (2)
2572
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alan H Gordon, EDD?

The NPI number of Dr. Alan H Gordon, EDD is 1689760654. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Alan H Gordon, EDD?

Dr. Alan H Gordon, EDD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 2572.

Where does Dr. Alan H Gordon, EDD practice?

The practice location is 45 Walpole St, Ste 6, Norwood, MA 02062-3319. The office can be reached at 781-769-1646 (phone) or 781-769-4696 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689760654 directly on the NPPES registry website.

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