Organization
JONATHAN GORMAN, PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GORMAN PSYD (DR.)
(410) 807-5312
Entity
Organization
Contact information
Practice address
405 ALLEGHENY AVE, TOWSON, MD 21204-4256
(410) 807-5312
Mailing address
405 ALLEGHENY AVE, TOWSON, MD 21204-4256
(410) 807-5312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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