Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON MOOR WHEELER, PHD
Active Sole ProprietorGORDON MOOR WHEELER, PHD is a Adult Development & Aging Psychologist healthcare provider located in SANTA CRUZ, California. NPI 1639664576 is currently active in the NPPES registry. Verify at CMS.
Adult Development & Aging Psychologist · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1639664576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2018 (8.1700045951965 yrs)
- Last Updated
- Jun 23, 2018
- License
-
6509 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 MOORE STSANTA CRUZ, CA, 950602516Browse CA providers · Browse ZIP 95060
- Phone
- 8319171676
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
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.