# DR. GREGORY JOSEPH CORAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548373384
- **Gender:** Man
- **Credential:** PSY.D. & APN-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 35S100236700 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00061900 | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 09/25/2024