Individual provider · Type 1 NPI
Aqualus Mondrell Gordon, PhD
Psychologist · Lees Summit, MO
Practice location
1320 NE Windsor Dr
Lees Summit, MO 64086-8477
Mailing address
702 NE Westwind Dr
Lees Summit, MO 64086-5620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | 2020017925 (MO) |
| Psychologist Primary | 103T00000X | 2020017925 (MO) |
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…
Another provider at this address
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About NPI 1235729575
Aqualus Mondrell Gordon, PhD's National Provider Identifier is 1235729575, issued on Jan 20, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lees Summit, MO. The record was last updated on Jan 20, 2021.