Whalio Doctors

NPI 1871818369

Brian Heath Gordon, PHD

Practitioner Clinical Neuropsychologist Ridgeland, MS

Practice location

Address
357 Towne Center Blvd STE 403, Ridgeland, MS 39157-4844
Phone
(601) 869-5898
Fax
(601) 589-0825
Mailing address
PO Box 2427, Madison, MS 39130-2427

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 48839 (MS)

Registry record

NPI
1871818369
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Mar 2010
Record last updated
8 Feb 2018

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.