Kathryn Gordon, PHD
Psychologist, Clinical in Fargo, North Dakota
1982168589- Practice location
- 2400 32ND Ave S, Fargo, ND 58103-5800
- Phone
- 701-234-2000
- Fax
- —
- Last updated
- August 17, 2022
Kathryn Gordon is a Psychologist, Clinical based in Fargo, ND. Kathryn Gordon practices in Fargo, ND and has the professional credentials of PHD. The NPI Number for Kathryn Gordon is 1982168589 and holds a License No. 567 (ND). The current practice location address for Kathryn Gordon is 2400 32ND Ave S, Fargo, ND 58103-5800 and can be reached out via phone at 701-234-2000.
Provider Profile Details
- NPI Number
- 1982168589
- Provider Name
- Kathryn Gordon
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2400 32ND Ave S, Fargo, ND 58103-5800
- Phone Number
- 701-234-2000
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 28, 2019
- Last Update Date
- August 17, 2022
- Certification Date
- August 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2400 32ND Ave S
Fargo, ND 58103-5800 - City
- Fargo
- State
- North Dakota
- Zip
- 58103-5800
- Phone Number
- 701-234-2000
Provider Business Mailing Address Details
- Address
- 1 Ash St Ste 1
Hopkinton, MA 01748-1886 - City
- Hopkinton
- State
- MA
- Zip
- 01748-1886
License Information
- License Number (1)
- 567
- License State (1)
- ND
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 11864
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
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 Kathryn Gordon, PHD?
The NPI number of Kathryn Gordon, PHD is 1982168589. It was assigned on January 28, 2019 and is currently active in the NPPES registry.
What is the specialty of Kathryn Gordon, PHD?
Kathryn Gordon, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ND under license number 567.
Where does Kathryn Gordon, PHD practice?
The practice location is 2400 32ND Ave S, Fargo, ND 58103-5800. The office can be reached at 701-234-2000 (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 1982168589 directly on the NPPES registry website.