Individual
DR. JOHN DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
480 HAWTHORN ST, NORTH DARTMOUTH, MA 02747-3729
(508) 990-0963
(508) 990-1176
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110023602A
—
MA
Enumeration date
05/11/2006
Last updated
04/21/2020
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