Christie Lynn Tanner-Gorman in Frederick - Family

Christie Lynn Tanner-Gorman - NPI 1033113857

Christie Lynn Tanner-Gorman is a Family in Frederick, Maryland. Christie Lynn Tanner-Gorman practices all healthcare services and medical treatments related to Family. The NPI Number for Christie Lynn Tanner-Gorman is 1033113857. The last update date is 2007-07-08.

Christie Lynn Tanner-Gorman's current location address is 170 Thomas Johnson Dr, Frederick, Maryland. You can contact this provider via phone number 3016958390 and fax number 3016947906. The mailing address for Christie Lynn Tanner-Gorman is 170 Thomas Johnson Dr, Frederick, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Christie Lynn Tanner-Gorman
Address 170 Thomas Johnson Dr, Frederick, Maryland
Phone Number 3016958390
Fax Number 3016947906
Sole Proprietor X
Credentials PH.D.

NPI Number Detail

NPI Number 1033113857
Provider Enumeration Date 2005-06-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 170 Thomas Johnson Dr
City Frederick
State Maryland (MD)
Post Code 2170262000
Phone Number 3016958390
Fax Number 3016947906

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 103Tf0000X
Licence No 4158
Definition:
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2129414 MD MAMSI

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FAQs about Christie Lynn Tanner-Gorman

What is the unique provider identifier assigned to Christie Lynn Tanner-Gorman?

The Christie Lynn Tanner-Gorman has been issued the NPI (National Provider Identifier) 1033113857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Christie Lynn Tanner-Gorman is physically located?

The Christie Lynn Tanner-Gorman is situated at the following address: 170 Thomas Johnson Dr, Frederick, MD 2170262000.

What is Christie Lynn Tanner-Gorman's area of expertise and its corresponding taxonomy classification?

The Christie Lynn Tanner-Gorman's field of specialization is Family, and it falls under the taxonomy code 103Tf0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033113857 to Christie Lynn Tanner-Gorman?

The Centers for Medicare & Medicaid Services originally issued the 1033113857 to Christie Lynn Tanner-Gorman on 2005-06-09.

As of what date was the information regarding Christie Lynn Tanner-Gorman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Christie Lynn Tanner-Gorman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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