JULIE A GORDON-DUECK PHD
NPI 1053514737
Psychologist - Clinical Child & Adolescent in Lebanon, PA

Q: What is Julie Gordon-dueck's NPI number?

The NPI number for Julie Gordon-dueck is 1053514737. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Julie Gordon-dueck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment

964 ISABEL DR, LEBANON, PA 17042(717) 274-9777(717) 274-9815 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Oct 18, 2022, Oct 14, 2022 (3 updates tracked since 2022).

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About Julie A Gordon-dueck Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE A GORDON-DUECK PHD (NPI 1053514737) is an individual clinical child & adolescent provider in Lebanon, Pennsylvania, licensed in Pennsylvania (PS007868L) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1053514737

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameJULIE A GORDON-DUECKCredential: PHD

Location Address964 ISABEL DRLebanon, PA 17042-7482

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 274-9777

Fax(717) 274-9815

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJune 8, 2007

Last NPPES UpdateOctober 28, 20243 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1053514737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in PA · PS007868L

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License PS007868L (PA)

964 ISABEL DR, Lebanon, PA 17042

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Other Identifiers 3

Medicaid103352242PA

OtherPS007868LPA · State License

Other11824245Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie A Gordon-dueck Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678627668

PECOS Enrollment IDI20090812000190

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYAN GOTTLIEB PSY.D.

Psychologist (Clinical)