DR. Jonathan Paul Gorham, PSY.D.

NPI #1679754055 in Dyess Afb, Texas

Provider Information

NPI Number
1679754055
Entity Type
Individual
Name
DR. Jonathan Paul Gorham, PSY.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PSY.D.
Enumeration Date
Nov 14, 2007
Last Updated
May 23, 2011

Practice Location

Address
697 LOUISIANA DR.
State
Texas
ZIP Code
79607
Phone
(325) 696-5380

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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