DR. MARY ELIZABETH GORDON (NPI# 1548395031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548395031 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH GORDON |
| Credential | PHD |
| Practice Address |
285 South Perry St Lawrenceville GA 30045 |
| Practice Telephone | 7703812712 |
| Practice Fax Number | 6783445804 |
| Mailing Telephone | 7703812712 |
| Mailing Fax Number | 6783445804 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
823 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942405873 | Mary Ellen Gordon | Orthotic Fitter | 514 N Brightleaf Blvd Ste 1202, Smithfield, NC 27577-4486 | 2007-06-20 |
| 1316012784 | Mary Elaine Gordon | Marriage & Family Therapist | 3 Williamsburg Ln, Chico, CA 95926 | 2006-11-21 |
| 1972521367 | Mary N Gordon | Internal Medicine | 151 W High St Lowr Level, Morris, IL 60450-1407 | 2006-07-17 |
| 1386206555 | Mary Inez Gordon | Behavior Technician | 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 | 2019-07-08 |
| 1164831608 | Mary Gordon | Clinical Nurse Specialist | 6621 Fannin St, Houston, TX 77030-2358 | 2014-08-08 |
| 1457699886 | Mary Ann Gordon | Counselor | 815 Flack Ave, Alliance, NE 69301-2722 | 2013-01-18 |
| 1235401613 | Mary Loray Gordon | Registered Nurse | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-02-01 |
| 1235446261 | Mary Kathleen Gordon | Occupational Therapist | 1051 W South St, Kewanee, IL 61443-8354 | 2010-09-13 |
| 1275686495 | Mary N. Gordon | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| 1134224520 | Mary E Gordon | Pediatrics | Children's Hospital, 300 Longwood Ave, Brookline, MA 02115 | 2006-09-13 |
| Street Address |
285 SOUTH PERRY ST |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
| 1740540798 | William Dundon | Psychologist | 28204 Cherry Blossom Ct, Lawrenceville, NJ 08648-1288 | 2012-05-24 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1639343221 | Drm Consulting Services, Inc | Psychologist | 485 S Perry St Ste D, Lawrenceville, GA 30045-4951 | 2008-04-15 |
| 1093909822 | Lon Maletta | Psychologist | 66 Lawrenceville Penning Rd, Lawrenceville, NJ 08648-1651 | 2007-09-05 |
| 1780896845 | Karen A. Dean, Ph.d., P.C. | Psychologist | 1805 Herrington Road, Building 2, Lawrenceville, GA 30043 | 2007-05-03 |
| 1861511800 | Robert E. Fisher | Psychologist | 1147 Planters Rd, Lawrenceville, VA 23868-3345 | 2007-03-29 |
| 1912059726 | Lawrence K Straus | Psychologist | 993 Lenox Dr, Suite 200, Lawrenceville, NJ 08648-2316 | 2007-01-18 |
| 1841366630 | Dante Sandlin Shaw | Psychologist | 750 Longleaf Blvd, Suite D, Lawrenceville, GA 30045-8459 | 2006-11-26 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on DR. MARY ELIZABETH GORDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.