National Provider Identifier
Beth J Gordon, M.S.
Beth J Gordon, M.S. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1558517243
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 13, 2008
- Last Updated
- April 15, 2019
Practice Location
- 127 W State St Fl 1
- Ithaca, NY 14850
Phone: (607) 273-7494
Mailing Address
- 127 W State St Fl 1
- Ithaca, NY 14850-5474
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1558517243
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Beth
- Middle Name
- J
- Name Prefix
- MS.
- Credential
- M.S.
- Mailing Street Address
- 127 W State St Fl 1
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Practice Street Address
- 127 W State St Fl 1
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- August 13, 2008
- Last Updated
- April 15, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 020048 (NY, New York License)