JULIE A GORDON-DUECK PHD NPI 1053514737

NPI Information

  • NPI: 1053514737
  • Provider Name: JULIE A GORDON-DUECK, PHD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 964 ISABEL DR
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 274-9777

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NPI Details

Julie A Gordon-dueck, PHD is a clinical child and adolescent psychologist in Lebanon, PA with 33 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Julie A Gordon-dueck, PHD NPI is 1053514737. 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:

964 ISABEL DR
LEBANON, PA
ZIP 17042-482
Phone: (717) 274-9777
Fax: (717) 274-9815

The NPI 1053514737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 10/28/2024.

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
1103T00000XPsychologistPS007868LPENNSYLVANIANo
2103TC2200XPsychologistClinical Child & AdolescentPS007868LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103352242MEDICAIDPENNSYLVANIA
2PS007868LOTHERPENNSYLVANIASTATE LICENSE
311824245OTHERCAQH

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: 11/21/2025

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