Search › Wyoming › 1041C0700X
Colt Gordon, LCSW 110973
NPI 1538762471 · on the registry since 2020
Practice
- Address
- 627 15th St
Cody, WY 82414 - Phone
- (619) 453-5063
- Organisation at this address
- Bydand Therapy & Consulting Pc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 5101 Santa Monica Blvd, Los Angeles, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- WY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming