Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AQUALUS MONDRELL GORDON, PH.D.
Active Sole ProprietorDR. AQUALUS MONDRELL GORDON, PH.D. is a Psychologist healthcare provider located in LEES SUMMIT, Missouri. NPI 1235729575 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1235729575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2021 (5.6013635563987 yrs)
- Last Updated
- Jan 20, 2021
- Licenses
-
2020017925 (MO)2020017925 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1320 NE WINDSOR DRLEES SUMMIT, MO, 640868477Browse MO providers · Browse ZIP 64086
- Phone
- 8162878959
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| MS. ROBIN LAUREE LARSON-MOLZEN | MED | 1942283478 |
| MR. CARL STANLEY MARR | PSYCHOLOGIST | 1740290063 |
| KATHRYN S ROBERTS | M.S. | 1215021068 |
| DR. JASON CARTER FAIRMAN | PSY.D. | 1417033895 |
| DR. SUSAN LAUDERDALE WALDO | PH.D. | 1174697338 |
| TAMMY J JACKSON | LICENSED PSYCHOLOGIS | 1235294018 |
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.