Individual
JENNIFER GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CLARK ST, WESTFIELD, NJ 07090-3915
(917) 450-0011
Mailing address
700 CLARK ST, WESTFIELD, NJ 07090-3915
(917) 450-0011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100632300
NJ
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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