Individual
DR. KIMBERLY S. GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6640 INTECH BLVD, SUITE 300, INDIANAPOLIS, IN 46278-2011
(317) 275-6404
(317) 275-7011
Mailing address
6640 INTECH BLVD, SUITE 300, INDIANAPOLIS, IN 46278-2011
(317) 275-6404
(317) 275-7011
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041566A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200316040
—
IN
Enumeration date
06/29/2006
Last updated
07/24/2012
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