Kelly A Gorman is a Psychologist in Bay Pines, Florida. Kelly A Gorman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kelly A Gorman is 1104992247. The last update date is 2007-07-16.
Kelly A Gorman's current location address is 10,000 Bay Pines Boulevard, Bay Pines, Florida. You can contact this provider via phone number 7273986661. The mailing address for Kelly A Gorman is 10,000 Bay Pines Boulevard, Bay Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Gorman |
|---|---|
| Address | 10,000 Bay Pines Boulevard, Bay Pines, Florida |
| Phone Number | 7273986661 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1104992247 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 10,000 Bay Pines Boulevard |
|---|---|
| City | Bay Pines |
| State | Florida (FL) |
| Post Code | 33744 |
| Phone Number | 7273986661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY7263 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Kelly A Gorman by the Centers for Medicare & Medicaid Services?
The Kelly A Gorman has been assigned the NPI (National Provider Identifier) 1104992247 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kelly A Gorman's physical address?
The Kelly A Gorman is physically located at 10,000 Bay Pines Boulevard, in the city of Bay Pines, FL, with the postal code 33744.
What is Kelly A Gorman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly A Gorman's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104992247 to Kelly A Gorman?
The Centers for Medicare & Medicaid Services assigned the 1104992247 to Kelly A Gorman on 2006-11-28.
As of what date were the Kelly A Gorman's details last updated?
The information pertaining to the Kelly A Gorman, including its address, specialty, and other details, was most recently updated on 2007-07-16.
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