Individual
DR. JOHN J. GORVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7 LINCOLN ST, SUITE 304, WAKEFIELD, MA 01880-3021
(781) 246-4555
Mailing address
7 LINCOLN ST, SUITE 304, WAKEFIELD, MA 01880-3021
(781) 246-4555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6347
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012426
VALUE OPTIONS
MA
05
—
0526649
—
MA
01
—
102732
EMPIRE BLUE CROSS
NY
01
—
1041330
BEACON HEALTH
MA
01
—
1899384
MBHP
MA
01
—
W05072
BLUE CROSS
MA
Enumeration date
08/09/2006
Last updated
07/08/2007
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