Individual
DR. MICHAEL R GHORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3305 81ST ST, STE H, LUBBOCK, TX 79423-2042
(806) 748-6400
(806) 748-6110
Mailing address
1431 WIRT RD # 104, HOUSTON, TX 77055-4916
(806) 748-6400
(806) 748-6110
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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