Individual provider · Type 1 NPI
Bruce R. Gordon, PhD
Psychologist · Santa Monica, CA
Practice location
270-26TH St., Suite 202
Santa Monica, CA 90402
Fax (310) 451-5674
Mailing address
270-26TH Street, Suite 202
Santa Monica, CA 90402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY.757 (CA) |
| Clinical Psychologist | 103TC0700X | PSY.757 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1083905707
Bruce R. Gordon, PhD's National Provider Identifier is 1083905707, issued on Apr 28, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Santa Monica, CA. The record was last updated on May 3, 2011.