Individual
JOSEPH O'GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3802 SENECA ST, WEST SENECA, NY 14224-3433
(716) 677-5418
(716) 677-4240
Mailing address
3802 SENECA ST, WEST SENECA, NY 14224-3433
(716) 677-5418
(716) 677-4240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0121001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020912401
UNIVERA
NY
01
—
000523348003
BLUE CROSS BLUE SHIELD OF
—
05
—
01617830
—
NY
01
—
6190503
INDEPENDENT HEALTH
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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