| Doctor Name: | DR. JEAN A GORMLEY |
| NPI Number: | 1710021654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O.M., A.P., D.C. |
| License Number: | AP 751 |
| Business Practice Address: | 13357 Overseas Hwy Marathon, FL - 330503550 |
| Business Phone Number: | 3057978527 |
| Business Fax Number: | |
| Mailing Address: | Po Box 420405, SUMMERLAND KEY |
| State: | FL |
| Postal Code: | 330420405 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | AP 751 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |