DERRICK M GORDON

NEW HAVEN, CT
NPI1730690835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CT  003297)
Enumeration Date2017-10-16
Last Update Date2017-10-16
Business Address
DERRICK M GORDON Ph.D.
389 WHITNEY AVE
NEW HAVEN, CT 06511-2301
Phone number: 203-789-7645
Mailing Address
DERRICK M GORDON Ph.D.
44 OLD QUARRY RD
WOODBRIDGE, CT 06525-1006
Phone number: 203-675-4228