| Doctor Name: | MRS. AMY MARGARET GORMAN |
| NPI Number: | 1073898946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 50760 |
| Business Practice Address: | 380 Drake Drive Drake Elementary School North Tonawanda, NY - 14120 |
| Business Phone Number: | 7168073734 |
| Business Fax Number: | 7168073726 |
| Mailing Address: | 380 Drake Drive, Drake Elementary School NORTH TONAWANDA |
| State: | NY |
| Postal Code: | 14120 |
| Phone Number: | 7168073734 |
| Fax Number: | 7168073726 |
| NPI Enumeration Date: | 10/11/2011 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 50760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |