Gorham, Thomas

Gorham, Thomas is an individual health care provider with primary practice located at 1931 Center St , Berkeley CA 94704-1105. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gorham, Thomas can be contacted via phone (510) 666-9552.

Contact Information

Primary practice address
1931 Center St Berkeley CA 94704-1105
Phone: (510) 666-9552
Fax: (510) 666-0987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780870626
LBN Legal business name Gorham, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Aug 28th, 2008 - about 17 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.

Request for update

Popular Providers