Gorham, Katie Marie

Gorham, Katie Marie is an individual health care provider with primary practice located at 10100 Dee Rd , Des Plaines IL 60016-1512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Gorham, Katie Marie can be contacted via phone (474) 938-3588.

Contact Information

Primary practice address
10100 Dee Rd Des Plaines IL 60016-1512
Phone: (474) 938-3588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071009814 Illinois
Behavioral Health & Social Service Providers / School 103TS0200X 46602 Illinois

Profile Details

NPI number 1336612647
LBN Legal business name Gorham, Katie Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2019
Last updated Jan 9th, 2019 - about 5 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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