Individual
MARK J. GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
51 PERFORMANCE DR., WEYMOUTH, MA 02189
(787) 624-4242
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BOSTON, MA 02114
(617) 726-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
8811
MA
103TC1900X
Counseling Psychologist
Primary
8811
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2007
Last updated
06/05/2018
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