Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK M GORDON, PH.D.
Active Sole ProprietorDERRICK M GORDON, PH.D. is a Clinical Psychologist healthcare provider located in NEW HAVEN, Connecticut. NPI 1730690835 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NEW HAVEN, CT
Registration Details
- NPI Number
- 1730690835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2017 (8.8183454367409 yrs)
- Last Updated
- Oct 16, 2017
- License
-
003297 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
389 WHITNEY AVENEW HAVEN, CT, 065112301Browse CT providers · Browse ZIP 06511
- Phone
- 2037897645
- Fax
- 2035626355
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| ARLENE R BRUSKIN | PH.D | 1629063615 |
| DR. LESLIE F DIMELLA | PSYD | 1346226222 |
| DR. TRACI D NIX | PSYD | 1710959101 |
| NAOMI ROBIN DRIESEN | PHD | 1710944780 |
| DR. SUSAN A BERS | PH.D. | 1336184860 |
| DR. LESLIE BLOCH WEISS | PH.D. | 1134152770 |
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.