Provider Demographics
NPI:1710187067
Name:DOREY-STEIN, GARY GUSSMAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:GUSSMAN
Last Name:DOREY-STEIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:43 LEOPARD ROAD
Mailing Address - Street 2:BUILDING 2 SUITE 101
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1743
Mailing Address - Country:US
Mailing Address - Phone:610-251-9545
Mailing Address - Fax:610-251-9545
Practice Address - Street 1:43 LEOPARD RD
Practice Address - Street 2:BUILDING 2 SUITE 101
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1552
Practice Address - Country:US
Practice Address - Phone:610-251-9545
Practice Address - Fax:610-251-9545
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS005118L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical