Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN HEATH GORDON, PHD
Active Sole ProprietorDR. BRIAN HEATH GORDON, PHD is a Clinical Neuropsychologist healthcare provider located in RIDGELAND, Mississippi. NPI 1871818369 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · RIDGELAND, MS
Registration Details
- NPI Number
- 1871818369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2010 (16.404003800116 yrs)
- Last Updated
- Feb 8, 2018
- License
-
48839 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
357 TOWNE CENTER BLVD STE 403RIDGELAND, MS, 391574844Browse MS providers · Browse ZIP 39157
- Phone
- 6018695898
- Fax
- 6015890825
- 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.