Individual
DR. WAYNE VAN ORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
58 STOW ST, CONCORD, MA 01742-2400
(978) 371-7338
Mailing address
58 STOW ST, CONCORD, MA 01742-2400
(978) 371-7338
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7250
MA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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