Individual
JOHN GAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
121 N 20TH ST #6, OPELIKA, AL 36801
(334) 705-3322
(334) 705-3431
Mailing address
121 N 20TH ST #6, OPELIKA, AL 36801
(334) 749-3385
(334) 705-3431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
339
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030450
—
AL
Enumeration date
10/20/2006
Last updated
12/21/2011
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