Michael Gormley LP

NPI #1598955577 in Glencoe, Minnesota

Provider Information

NPI Number: 1598955577
Entity Type: Organization
Organization Name: Michael Gormley LP
Primary Specialty: Psychologist
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 610 CHESTNUT ST
City: Glencoe
State: Minnesota
ZIP Code: 55336-1028
Phone: (320) 864-4725

Authorized Official

Name: JAN WIRTZ
Title: BILLING OFFICE MGR
Phone: (952) 442-7015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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