Individual
BETHANY GRACE GORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 FRANKLIN ST NE, WASHINGTON, DC 20002-1008
(551) 206-6548
Mailing address
50 FRANKLIN ST NE, WASHINGTON, DC 20002-1008
(551) 206-6548
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008295
VA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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