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
Health care specialties
Specialty | Code | License # | 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 6 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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