DR. BEVERLY PATRICIA GORDON PSYD LPC RN NPI 1891338976

NPI Information

  • NPI: 1891338976
  • Provider Name: DR. BEVERLY PATRICIA GORDON, PSYD, LPC, RN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5 GREAT VALLEY PKWY STE 210
    MALVERN, PA
    ZIP 19355
  • Phone: (610) 648-3901

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NPI Details

DR. Beverly Patricia Gordon, PSYD, LPC, RN is a professional counselor in Malvern, PA. DR. Beverly Patricia Gordon, PSYD, LPC, RN NPI is 1891338976. 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:

5 GREAT VALLEY PKWY STE 210
MALVERN, PA
ZIP 19355-426
Phone: (610) 648-3901

The enumeration date for this NPI number is 10/22/2019 and was last updated on 1/28/2021.

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
1101YP2500XCounselorProfessionalPC012706PENNSYLVANIAYes

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

NPI Synchronization or Removal

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