National Provider Identifier

Kerry Gordon, PH.D.

Kerry Gordon, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 271-1661.

NPI 1073582300Rochester, NYClinical Psychologist

Profile Overview

NPI
1073582300
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
March 17, 2006
Last Updated
July 08, 2007

Practice Location

  • 120 Allens Creek RD
  • Rochester, NY 14618-3306

Phone: (585) 271-1661

Mailing Address

  • 96 Chadbourne RD
  • Rochester, NY 14618-1136

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1073582300
Entity Type
Individual
Last Name
Gordon
First Name
Kerry
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
96 Chadbourne RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-1136
Mailing Country
US
Mailing Phone
(585) 271-7395
Practice Street Address
120 Allens Creek RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3306
Practice Country
US
Practice Phone
(585) 271-1661
Enumeration Date
March 17, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)