Christie Lynn Tanner-gorman PH.D.

NPI 1033113857 - Psychologist - 103TF0000X

NPI Details
NPI 1033113857
Gender Female
Enumeration Date 06/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
170 THOMAS JOHNSON DR
STE 200
FREDERICK MD, 21702-6200, US
Phone (301) 695-8390
Fax (301) 694-7906
Business Location
170 THOMAS JOHNSON DR
STE 200
FREDERICK MD, 21702-6200, US
Phone (301) 695-8390
Fax (301) 694-7906
Toxanomy
Taxonomy Code 103TF0000X
License State Maryland
License Number 04158
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According to our database, Christie Lynn Tanner-gorman PH.D. NPI is 1033113857, taxonomy code is 103TF0000X and license number is 04158, license state is located at Maryland. Christie Lynn Tanner-gorman PH.D. physically located at 170 Thomas Johnson Dr, Frederick MD, 21702-6200. NPI Number Christie Lynn Tanner-gorman PH.D. has the Individual type.

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1033113857 NPI number is provided on an as is basis without warranty of any kind. 1033113857 is maintained by the National Plan & Provider Enumeration System. The contents of Christie Lynn Tanner-gorman PH.D. are for informational purposes only.