Individual
MRS. KIM R GORMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2427 SAUCON CIR, EMMAUS, PA 18049-5411
(484) 553-7324
(610) 967-5876
Mailing address
2427 SAUCON CIR, EMMAUS, PA 18049-5411
(484) 553-7324
(610) 967-5876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005450L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010181470003
—
PA
Enumeration date
03/07/2007
Last updated
07/09/2007
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