Lynn Marie Gordon, PHD is a
Psychologist based in Monte Rio, California. Lynn Marie Gordon is licensed to practice in California (license number PSY 26528) and her current practice location is
19375 Highway 116, Monte Rio, California. She can be reached at her office (for appointments etc.) via phone at
(707) 865-1200.
NPI number for Lynn Marie Gordon is 1841413713 and her current mailing address is Po Box 519, Monte Rio, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841413713.
Healthcare Provider's Profile
Full Name | Lynn Marie Gordon |
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Gender | Female |
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Speciality | Psychologist |
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Location | 19375 Highway 116, Monte Rio, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841413713
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 08/07/2014
Medical Identifiers
Medical identifiers for Lynn Marie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841413713 | NPI | - | NPPES |
PSB 32692 | Other | CA | PSYCHOLOGICAL ASSISTANT |
PSY 26528 | Other | CA | LICENSED PSYCHOLOGIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PSB 32692 (California) | Secondary |
103T00000X | Psychologist | PSY 26528 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lynn Marie Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lynn Marie Gordon, PHD Po Box 519, Monte Rio, CA 95462-0519 Ph: (707) 865-1200 | Lynn Marie Gordon, PHD 19375 Highway 116, Monte Rio, CA 95462 Ph: (707) 865-1200 |
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