Charles D Gore Jr.
Psychologist, Cognitive & Behavioral in Westport, CT. Individual provider (NPI-1).
NPI number1396263166
StatusActive
Last updated in NPPESAug 31, 2017
Details
- NPI
- 1396263166
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles D Gore Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2017
- Last updated
- Aug 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | Yes |
Practice location
87 Turkey Hill Rd SWestport, CT 06880-6312
Phone 203-998-8393
Mailing address
287 Washington BlvdStamford, CT 06902
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