NPI 1417652603
Raymond Wade Gourley
Practice location
- Address
- 401 S 2nd St STE 303, Philadelphia, PA 19147-1612
- Phone
- (215) 732-8244
- Fax
- (215) 732-8454
Registered specialties (2)
Psychoanalyst
Primary
Mental Health Counselor
Registry record
- NPI
- 1417652603
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Apr 2023
- Record last updated
- 9 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.