NPI 1003459181

Megan Gordon

Practitioner Licensed Psychiatric Technician Santa Rosa, CA

Practice location

Address: 327 College Ave, Santa Rosa, CA 95401-5117
Phone: (707) 568-2800
Mailing address: 2390 Donna Maria Way, Santa Rosa, CA 95401-5789

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence PT22049 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1003459181
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2019
Record last updated: 22 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.