Individual
JENNIFER GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SUNSET DR, NEW HOPE, PA 18938-1019
(215) 512-1081
Mailing address
106 SUNSET DR, NEW HOPE, PA 18938-1019
(215) 512-1081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002350
PA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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