MEDICARE: DR. GAIL L. SCHAPER-GORDON PH.D,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY8898	CA

General Provider Information

NPI Number	:	1881615185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL L. SCHAPER-GORDON PH.D,

Provider Business Mailing Address
First Line	:	1912 KAWEAH DR
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3604
Country	:	US
Telephone Number	:	323-259-9449
Fax Number	:	323-344-0008

Provider Business Practice Location Address
First Line	:	4529 ANGELES CREST HWY
Second Line	:	SUITE 205
City	:	LA CANADA
State	:	CA
Zip	:	91011-3247
Country	:	US
Telephone Number	:	818-368-0079
Fax Number	:	323-344-0008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/09/2007

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