Kathryn Gordon, PhD
Psychologist, Clinical in Fargo, ND. Individual provider (NPI-1).
NPI number1982168589
StatusActive
Last updated in NPPESAug 17, 2022
Details
- NPI
- 1982168589
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Gordon
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2019
- Certification date
- Aug 17, 2022
- Last updated
- Aug 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 11864 | MA | Yes |
| 103TC0700X | Psychologist, Clinical | 567 | ND |
Practice location
2400 32nd Ave SFargo, ND 58103-5800
Phone 701-234-2000
Mailing address
1 Ash St Ste 1Hopkinton, MA 01748-1886
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