Gorham, Jonathan Paul
Gorham, Jonathan Paul is an sole proprietor health care provider with primary practice located at 697 Louisiana Dr. , Dyess Afb TX 79607. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gorham, Jonathan Paul can be contacted via phone (325) 696-5380.Contact Information
Primary practice address
697 Louisiana Dr.
Dyess Afb TX 79607
Phone: (325) 696-5380
Fax: (352) 696-5579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 019063-1 | New York |
Profile Details
| NPI number | 1679754055 |
|---|---|
| LBN Legal business name | Gorham, Jonathan Paul |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2007 |
| Last updated | May 23rd, 2011 - about 13 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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