Dr. Rebecca J Gordon, PSYD
Psychologist, Clinical in Milford, Connecticut
1841524592- Practice location
- 31 Cherry St, Suite 101, Milford, CT 06460-3465
- Phone
- 203-727-0825
- Fax
- —
- Last updated
- October 2, 2014
Rebecca Jacobs Gordon is a Psychologist, Clinical based in Milford, CT. Rebecca Jacobs Gordon practices in Milford, CT and has the professional credentials of PSYD. The NPI Number for Rebecca Jacobs Gordon is 1841524592 and holds a License No. 019720 (NY). The current practice location address for Rebecca Jacobs Gordon is 31 Cherry St, Suite 101, Milford, CT 06460-3465 and can be reached out via phone at 203-727-0825.
Provider Profile Details
- NPI Number
- 1841524592
- Provider Name
- Rebecca Jacobs Gordon
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Cherry St, Suite 101, Milford, CT 06460-3465
- Phone Number
- 203-727-0825
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 29, 2009
- Last Update Date
- October 2, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Cherry St
Suite 101
Milford, CT 06460-3465 - City
- Milford
- State
- Connecticut
- Zip
- 06460-3465
- Phone Number
- 203-727-0825
Provider Business Mailing Address Details
- Address
- 31 Cherry St
Suite 101
Milford, CT 06460-3465 - City
- Milford
- State
- CT
- Zip
- 06460-3465
- Phone Number
- 203-727-0825
License Information
- License Number (1)
- 019720
- License State (1)
- NY
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 3283
- License State (2)
- CT
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (3)
- 3283
- License State (3)
- CT
- Taxonomy (3)
- Psychologist · 103T00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Rebecca J Gordon, PSYD?
The NPI number of Dr. Rebecca J Gordon, PSYD is 1841524592. It was assigned on September 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Rebecca J Gordon, PSYD?
Dr. Rebecca J Gordon, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 019720.
Where does Dr. Rebecca J Gordon, PSYD practice?
The practice location is 31 Cherry St, Suite 101, Milford, CT 06460-3465. The office can be reached at 203-727-0825 (phone).
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 1841524592 directly on the NPPES registry website.