Individual
DR. KATIE MARIE GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10100 DEE RD, DES PLAINES, IL 60016-1512
(474) 938-3588
Mailing address
10100 DEE RD, DES PLAINES, IL 60016-1512
(474) 938-3588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009814
IL
103TS0200X
School Psychologist
Primary
46602
IL
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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