Individual
JENNIFER GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(774) 312-6667
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(774) 312-6667
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10306
MA
Other
Enumeration date
10/19/2012
Last updated
06/07/2022
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