Gorham, Deja Aliyah

Gorham, Deja Aliyah is an individual health care provider with primary practice located at 5101 Fitch St Se Apt 101 , Washington DC 20019-5911. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Gorham, Deja Aliyah can be contacted via phone (301) 850-2718.

Contact Information

Primary practice address
5101 Fitch St Se Apt 101 Washington DC 20019-5911
Phone: (301) 850-2718
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X District of Columbia
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1235863911
LBN Legal business name Gorham, Deja Aliyah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2022
Last updated Jul 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235863911 NPPES
District of Columbia MEDICAID 1806333

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