Individual
SAM KHORRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
328 COMMONS WAY, BUILDING C, TOMS RIVER, NJ 08755-6428
(732) 278-5615
Mailing address
PO BOX 269, BRIELLE, NJ 08730-0269
(732) 278-5615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S10041560
NJ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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