Patrick W Gorman in Winter Park - Clinical Neuropsychologist

Patrick W Gorman - NPI 1205838935

Patrick W Gorman is a Clinical Neuropsychologist in Winter Park, Florida. Patrick W Gorman practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Patrick W Gorman is 1205838935. The last update date is 2019-03-04.

Patrick W Gorman's current location address is 111 N Lakemont Ave Ste 2d, Winter Park, Florida. You can contact this provider via phone number 4076447792 and fax number 4076443509. The mailing address for Patrick W Gorman is 111 N Lakemont Ave Ste 2d, Winter Park, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick W Gorman
Address 111 N Lakemont Ave Ste 2d, Winter Park, Florida
Phone Number 4076447792
Fax Number 4076443509
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1205838935
Provider Enumeration Date 2005-08-12
Last Updated Date 2019-03-04

Provider Mailing Address Detail

Address 111 N Lakemont Ave Ste 2d
City Winter Park
State Florida (FL)
Post Code 327923217
Phone Number 4076447792
Fax Number 4076443509

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PY5141
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
59686 FL BLUE CROSS BLUE SHIELD
1051159 FL CIGNA BEHAVIORAL HEALTH

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FAQs about Patrick W Gorman

What is the unique identifier code issued to Patrick W Gorman by the Centers for Medicare & Medicaid Services (CMS)?

The Patrick W Gorman has been assigned the NPI (National Provider Identifier) 1205838935. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Patrick W Gorman is located?

The Patrick W Gorman is situated at the following address: 111 N Lakemont Ave Ste 2D, Winter Park, FL, 327923217.

What is the Patrick W Gorman's area of specialization and corresponding taxonomy classification?

The Patrick W Gorman's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.

On what date did Patrick W Gorman receive its 1205838935 assignment from the Centers for Medicare & Medicaid Services?

The Patrick W Gorman was assigned its 1205838935 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Patrick W Gorman most recently updated or refreshed?

The details pertaining to the Patrick W Gorman, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-04.

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