Tanner-Gorman, Christie Lynn

Tanner-Gorman, Christie Lynn is an individual health care provider with primary practice located at 170 Thomas Johnson Dr Ste 200, Frederick MD 21702-6200. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Tanner-Gorman, Christie Lynn can be contacted via phone (301) 695-8390.

Contact Information

Primary practice address
170 Thomas Johnson Dr Ste 200 Frederick MD 21702-6200
Phone: (301) 695-8390
Fax: (301) 694-7906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 04158 Maryland

Profile Details

NPI number 1033113857
LBN Legal business name Tanner-Gorman, Christie Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033113857 NPPES
Maryland Other 2129414 MAMSI

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