Individual
DR. GREGORY ALAN VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1936 LEE RD, STE 290, WINTER PARK, FL 32789-7202
(407) 233-1864
(407) 563-3264
Mailing address
1936 LEE RD, STE 290, WINTER PARK, FL 32789-7202
(561) 252-7336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8572
FL
Other
Enumeration date
04/07/2010
Last updated
01/09/2019
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