Individual
LAURA L GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7912
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7303
(319) 272-7318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
969
IA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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