Gorman, Susan

Gorman, Susan is an individual health care provider with primary practice located at 400 Morris Ave Suite 214, Denville NJ 07834-1362. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gorman, Susan can be contacted via phone (201) 874-8662.

Contact Information

Primary practice address
400 Morris Ave Suite 214 Denville NJ 07834-1362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00390700 New Jersey

Profile Details

NPI number 1194969683
LBN Legal business name Gorman, Susan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Aug 19th, 2013 - about 12 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 1194969683 NPPES
New Jersey MEDICAID 4138601

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