Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN PAUL GORHAM, PSY.D.
Active Sole ProprietorDR. JONATHAN PAUL GORHAM, PSY.D. is a Clinical Psychologist healthcare provider located in DYESS AFB, Texas. NPI 1679754055 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · DYESS AFB, TX
Registration Details
- NPI Number
- 1679754055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2007 (18.603491365794 yrs)
- Last Updated
- May 23, 2011
- License
-
019063-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
697 LOUISIANA DR.DYESS AFB, TX, 79607Browse TX providers · Browse ZIP 79607
- Phone
- 3256965380
- Fax
- 3526965579
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in DYESS AFB, TX
| Name | Credential | NPI |
|---|---|---|
| DR. SAMUEL B TOBLER | PH.D. | 1053502401 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.