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Contact Information

SUZETTE L GORDON, NM LSP
1607 W. AZTEC BLVD.
AZTEC MUNICIPAL SCHOOLS
AZTEC, NM87410
 Phone: 505-334-1730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUZETTE L GORDON · (Female)

NPI # 1831346469
Status Active
Credentials NM LSP
Entity Individual
Enumeration date 08/26/2008
Last updated 08/26/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 220939
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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