Julie A. Gordon-Dueck, PHD
NPI 1053514737ActiveIndividual· Psychologist, Clinical Child & Adolescent· Lebanon, PA
Psychologist, Clinical Child & Adolescent (PHD) with Philhaven, practicing in Lebanon, Pennsylvania. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1053514737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 8, 2007 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Child & Adolescent Primary | 103TC2200X | PS007868L | PA |
| Psychologist | 103T00000X | PS007868L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PA) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- PhilhavenEphrata, PA · 92 clinicians
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