Provider Demographics
NPI:1891556429
Name:GORMAN, JAMI P
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:P
Last Name:GORMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 NAOMIS CT
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-2009
Mailing Address - Country:US
Mailing Address - Phone:215-290-8273
Mailing Address - Fax:
Practice Address - Street 1:1502 NAOMIS CT
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-2009
Practice Address - Country:US
Practice Address - Phone:215-290-8273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker