Male or Other

Dr. Timothy D. Gordon PHD

Clinical Psychologist in Durham, NC(View on Map)

Full Name

Dr. Timothy David Gordon PHD

NPI Number

1083920474

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/24/2010

Specialties

(Taxonomies)

Code

103TC0700X
103T00000X

Primary Taxonomy

Yes
No

Licenses

State

Missouri
North Carolina

License Number

2011014431
4784

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1630
4102 BEN FRANKLIN BLVD

City

Pinehurst
Durham

State

NC
NC

Postal Code

28370-1630
27704-2140

Country

US
US

Telephone Number

N/A
(919) 972-7700

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/04/2015

Provider Address

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