Individual
ANGELA A GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
205 S FRONT ST FL 5, HARRISBURG, PA 17104-1619
(717) 231-8360
(717) 231-8358
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS016504
MEDICAL LICENSE
PA
Enumeration date
11/13/2008
Last updated
01/02/2021
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