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Athena Gordon, EDM, PSYD
NPI 1700146552 · on the registry since 2012
Practice
- Address
- 4201 Bayshore Blvd
Unit 1603
Tampa, FL 33611 - Phone
- (617) 784-0771
- Organisation at this address
- Lifespan Psychology Services, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TA0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-25
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 Florida