PHD Kathryn Gordon, NPI 1982168589
Clinical Psychologist in Fargo, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1982168589
NPI Entity Type Individual
Provider Name PHD Kathryn Gordon
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2400 32nd Ave S, Fargo, ND, US
Provider Mailing Address 1 Ash St Ste 1, Hopkinton, MA, US, 017481886
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 11864
License State MA
Description A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

PHD Kathryn Gordon
2400 32nd Ave S

Fargo, ND, US

Phone: 701-234-2000

Mailing Address

PHD Kathryn Gordon
1 Ash St Ste 1
Hopkinton, MA, US
ZIP 017481886

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

103TC0700X

Behavioral Health & Social Service Providers

Psychologist

567 ND No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 2400 32nd Ave S, Fargo, ND, US

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Organization

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LPCC Megan Tarryn Degenstein

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1330 23rd St S

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