MRS. DEIRDRA GORDON LPC NPI 1912529207

NPI Information

NPI: 1912529207
Provider Name: MRS. DEIRDRA GORDON, LPC
Classification:
Entity Type: Individual
Address:
5410 PHOENIX AVENUE
UNIT # 134
FORT SMITH, AR
ZIP 72903
Phone: (479) 388-1272
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MRS. Deirdra Gordon, LPC is a healthcare provider in Fort Smith, AR. MRS. Deirdra Gordon, LPC NPI is 1912529207. 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:

5410 PHOENIX AVENUE
UNIT # 134
FORT SMITH, AR
ZIP 72903-054
Phone: (479) 388-1272

The enumeration date for this NPI number is 5/10/2020 and was last updated on 3/18/2024.

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
1	101YM0800X	Counselor	Mental Health	A1902016	ARKANSAS	No

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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