Dr. Jay B Gordon, PhD
Psychologist in Brick, NJ. Individual provider (NPI-1).
NPI number1255439014
StatusActive
Last updated in NPPESNov 14, 2007
Details
- NPI
- 1255439014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay B Gordon
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Nov 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 375900 | NJ | Yes |
Practice location
1683 Route 88Brick, NJ 08724
Phone 732-840-5266 · Fax 732-840-7840
Mailing address
1683 Route 88Brick, NJ 08724
Phone 732-840-5266 · Fax 732-840-7840
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All 14 Psychologist providers in Brick · All 2,321 providers in Brick
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