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NPI Code Detail

MEDICARE: MRS. AMY VOLLMAR-GORHAM

MEDICARE:  MRS. AMY  VOLLMAR-GORHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool PsychologistOH1314414OH

General Provider Information

NPI Number : 1124442454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY VOLLMAR-GORHAM
Provider Business Mailing Address
First Line : 3281 UPTON AVE
Second Line : RM 1100
City : TOLEDO
State : OH
Zip : 43613-5109
Country : US
Telephone Number : 419-671-8866
Fax Number :
Provider Business Practice Location Address
First Line : 3281 UPTON AVE
Second Line : RM 1100
City : TOLEDO
State : OH
Zip : 43613-5109
Country : US
Telephone Number : 419-671-8866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2014
Last Update Date : 02/06/2014

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Directions to “ MRS. AMY VOLLMAR-GORHAM ” Practice Location

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