Doctor Name: | DR. JOSEPH PHILIP GORIN |
NPI Number: | 1659710069 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PSY 1715 |
Business Practice Address: | 2607 Connecticut Ave Nw Washington, DC - 200081522 |
Business Phone Number: | 2025185900 |
Business Fax Number: | 2025185900 |
Mailing Address: | 2607 Connecticut Ave. Nw, WASHINGTON |
State: | DC |
Postal Code: | 20008 |
Phone Number: | 2025185900 |
Fax Number: | 2025185900 |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY 1715 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |