Individual
DR. KELLY A GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
10,000 BAY PINES BOULEVARD, BAY PINES, FL 33744
(727) 398-6661
Mailing address
10,000 BAY PINES BOULEVARD, BAY PINES, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7263
FL
Other
Enumeration date
11/28/2006
Last updated
07/16/2007
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