Individual
KATHERINE K GORNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
504 E 4TH ST, ROYAL OAK, MI 48067-2847
(313) 356-6878
Mailing address
504 E 4TH ST, ROYAL OAK, MI 48067-2847
(313) 356-6878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301018210
MI
103TC0700X
Clinical Psychologist
Primary
6361007710
MI
Other
Enumeration date
10/22/2019
Last updated
05/24/2023
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