Healthcare Provider Details

I. General information

NPI: 1174430136
Provider Name (Legal Business Name): CATHERINE GORDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE PENDLETON

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD STE 2200
NEWARK DE
19713-7000
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD STE 2200
NEWARK DE
19713-7000
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: