Dr Jonathan Paul Gorham, PSYD - Psychologist in Dyess Afb, TX

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Dr Jonathan Paul Gorham, PSYD is a Psychologist - Clinical based in Dyess Afb, Texas. Dr Jonathan Paul Gorham is licensed to practice in New York (license number 019063-1) and his current practice location is 697 Louisiana Dr., Dyess Afb, Texas. He can be reached at his office (for appointments etc.) via phone at (325) 696-5380.

NPI number for Dr Jonathan Paul Gorham is 1679754055 and his current mailing address is 697 Louisiana Dr., Dyess Afb, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679754055.

Contact Information

Dr Jonathan Paul Gorham, PSYD
697 Louisiana Dr.,
Dyess Afb, TX 79607
(325) 696-5380
(352) 696-5579

Map and Direction




Healthcare Provider's Profile

Full NameDr Jonathan Paul Gorham
GenderMale
SpecialityPsychologist - Clinical
Location697 Louisiana Dr., Dyess Afb, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679754055
  • Provider Enumeration Date: 11/14/2007
  • Last Update Date: 05/23/2011

Medical Identifiers

Medical identifiers for Dr Jonathan Paul Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679754055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 019063-1 (New York)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. Dr Jonathan Paul Gorham 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 AddressPractice Location Address
Dr Jonathan Paul Gorham, PSYD
697 Louisiana Dr.,
Dyess Afb, TX 79607

Ph: (325) 696-5380		Dr Jonathan Paul Gorham, PSYD
697 Louisiana Dr.,
Dyess Afb, TX 79607

Ph: (325) 696-5380

Reviews and Comments


Psychologist in Dyess Afb, TX

Dr. Samuel B Tobler, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 697 Louisiana Rd Bldg 9201, Dyess Afb, TX 79607
Phone: 325-696-5380    
Brianne George,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 697 Louisiana Rd, Dyess Afb, TX 79607
Phone: 325-696-4018    

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