Judge, Colleen Gorman

Judge, Colleen Gorman is an individual health care provider with primary practice located at 33 College Hill Rd Suite 30E, Warwick RI 02886-2776. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Judge, Colleen Gorman can be contacted via phone (401) 821-6070.

Contact Information

Primary practice address
33 College Hill Rd Suite 30E Warwick RI 02886-2776
Fax: (401) 821-6047
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00127 Rhode Island

Profile Details

NPI number 1457304719
LBN Legal business name Judge, Colleen Gorman
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457304719 NPPES
Other 30240-5 BC/BS OF RI
Other 2083869 BC/BS OF RI
Other 409065 BC/BS OF RI

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