Individual
DR. MICHAEL R GHORMLEY
Active
Individual
DR. MICHAEL R GHORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
31739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165423803
—
TX
01
—
86988A
BCBS
TX
Enumeration date
07/08/2006
Last updated
06/10/2008
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