Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUSTIN JOEL GORDON, PH.D.
Active Sole ProprietorDR. DUSTIN JOEL GORDON, PH.D. is a Clinical Neuropsychologist healthcare provider located in RIDGWOOD, New Jersey. NPI 1124126404 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · RIDGWOOD, NJ
Registration Details
- NPI Number
- 1124126404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.941090957273 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3610 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
61 N. MAPLE AVE.STE 103RIDGWOOD, NJ, 07450Browse NJ providers · Browse ZIP 07450
- Phone
- 2016709773
- Fax
- 9734271463
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.