Provider Demographics
NPI:1720567936
Name:GORDON, FRANCES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:
Last Name:GORDON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:FRANKIE
Other - Middle Name:
Other - Last Name:MENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 2003
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-2003
Mailing Address - Country:US
Mailing Address - Phone:417-833-7013
Mailing Address - Fax:
Practice Address - Street 1:3912 VEILED FALLS DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5504
Practice Address - Country:US
Practice Address - Phone:417-833-7013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37433103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic