Aqualus Mondrell Gordon, PH.D.
Psychologist · Lees Summit, MO
Practice location
1320 NE Windsor DrLees Summit, MO 64086-8477
- Phone
- (816) 287-8959
NPI record
- NPI
- 1235729575
- Entity type
- Individual (Type 1)
- Enumeration date
- January 20, 2021
- Last updated
- January 20, 2021
- Certified
- January 20, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
2020017925 | MO |
| Counseling Psychologist | 103TC1900X |
2020017925 | MO |
Mailing address
702 NE Westwind DrLees Summit, MO 64086-5620
- Phone
- (512) 923-5328
About Dr. Gordon
Aqualus Mondrell Gordon, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1320 NE Windsor Dr, Lees Summit, MO 64086-8477. The NPI number 1235729575 was assigned on January 20, 2021 and the record was last updated on January 20, 2021.
Dr. Gordon lists 2 licenses in the registry: #2020017925 (MO) for Psychologist; #2020017925 (MO) for Counseling Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Aqualus Mondrell Gordon, PH.D.?
The NPI number is 1235729575.
What is the phone number of Dr. Gordon?
The phone number listed for the practice location is (816) 287-8959.
Where is Dr. Gordon located?
1320 NE Windsor Dr, Lees Summit, MO 64086-8477.
What is the taxonomy code for Dr. Gordon?
The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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