Gourley, Raymond Wade

Gourley, Raymond Wade is an sole proprietor health care provider with primary practice located at 313 S 16Th St , Philadelphia PA 19102-4908. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Psychoanalyst is his primary health care specialty. Gourley, Raymond Wade can be contacted via phone (215) 732-8244.

Contact Information

Primary practice address
313 S 16Th St Philadelphia PA 19102-4908
Phone: (215) 732-8244
Fax: (215) 732-8454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1417652603
LBN Legal business name Gourley, Raymond Wade
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2023
Last updated Apr 5th, 2023 - about last year

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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