Mr Raymond Wade Gourley, is a
Psychoanalyst based in Philadelphia, Pennsylvania. Mr Raymond Wade Gourley is licensed to practice in * (Not Available) (license number ) and his current practice location is
313 S 16th St, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 732-8244.
NPI number for Mr Raymond Wade Gourley is 1417652603 and his current mailing address is 313 S 16th St, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417652603.
Healthcare Provider's Profile
Full Name | Mr Raymond Wade Gourley |
---|
Gender | Male |
---|
Speciality | Psychoanalyst |
---|
Location | 313 S 16th St, Philadelphia, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417652603
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 04/05/2023
Medical Identifiers
Medical identifiers for Mr Raymond Wade Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417652603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
102L00000X | Psychoanalyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Raymond Wade Gourley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Raymond Wade Gourley, 313 S 16th St, Philadelphia, PA 19102-4908 Ph: (856) 534-7233 | Mr Raymond Wade Gourley, 313 S 16th St, Philadelphia, PA 19102-4908 Ph: (215) 732-8244 |
Reviews and Comments