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NPI Code Detail

MEDICARE: MR. GRANT PATRICK GORMAN

MEDICARE: MR. GRANT PATRICK GORMAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1851464960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GRANT PATRICK GORMAN
Provider Business Mailing Address
First Line : 16 W MISSION ST
Second Line : SUITE V
City : SANTA BARBARA
State : CA
Zip : 93101-2426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 HIXON RD
Second Line :
City : MONTECITO
State : CA
Zip : 93108-2617
Country : US
Telephone Number : 805-969-7787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ MR. GRANT PATRICK GORMAN ” Practice Location

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