| Doctor Name: | MRS. TAMARA ANN PETROWSKY GORMAN |
| NPI Number: | 1144470006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | 01129463 |
| Business Practice Address: | 1901 N Union Blvd Ste 202 Colorado Springs, CO - 809092283 |
| Business Phone Number: | 7195221080 |
| Business Fax Number: | |
| Mailing Address: | 5760 Coachwood Trl, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809194456 |
| Phone Number: | 7195983059 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2008 |
| NPI Last Update Date: | 09/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01129463 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |