TAMIKA GORDON CERTIFIED HAIR LOSS NPI 1235665977

NPI Information

NPI: 1235665977
Provider Name: TAMIKA GORDON, CERTIFIED HAIR LOSS
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
33 BERNHARD RD
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 779-6466
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Tamika Gordon, CERTIFIED HAIR LOSS is a prosthetics case management specialist in North Haven, CT. Tamika Gordon, CERTIFIED HAIR LOSS NPI is 1235665977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33 BERNHARD RD
NORTH HAVEN, CT
ZIP 06473-900
Phone: (203) 779-6466

The enumeration date for this NPI number is 5/1/2017 and was last updated on 5/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	052003	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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