Donnelly, Gosha
Donnelly, Gosha is an individual health care provider with primary practice located at 11 Beaver Meadow Road Suite 4, Office 2, Norwich VT 05055. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Donnelly, Gosha can be contacted via phone (802) 649-2266.Contact Information
Primary practice address
11 Beaver Meadow Road Suite 4, Office 2
Norwich VT 05055
Phone: (802) 649-2266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0480000708 | Vermont |
Profile Details
| NPI number | 1760416101 |
|---|---|
| LBN Legal business name | Donnelly, Gosha |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760416101 | NPPES |
| Vermont | MEDICAID | OVN 1837 |
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