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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AQUALUS MONDRELL GORDON, PH.D.

Active Sole Proprietor

DR. 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 DR
LEES SUMMIT, MO, 640868477
Browse 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.