Individual
DR. JOHN J. GORVIN
Active
Individual
DR. JOHN J. GORVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
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
Update your record
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