Provider Demographics
NPI:1851357537
Name:GORDON, JUNE TAYLOR (MED)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:TAYLOR
Last Name:GORDON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MRS
Other - First Name:JUNE
Other - Middle Name:LOUISE
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:1251 S CEDAR CREST BLVD
Mailing Address - Street 2:STE 305 A
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6205
Mailing Address - Country:US
Mailing Address - Phone:610-432-7588
Mailing Address - Fax:610-434-9831
Practice Address - Street 1:1251 S CEDAR CREST BLVD
Practice Address - Street 2:STE 305 A
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6205
Practice Address - Country:US
Practice Address - Phone:610-432-7588
Practice Address - Fax:610-434-9831
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAP3004676L103T00000X
PAMF000041106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist