Gockley, Andrea

Gockley, Andrea is an individual health care provider with primary practice located at 2322 Crescent Ridge Rd , Daytona Beach FL 32118-5326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gockley, Andrea can be contacted via phone (706) 490-0810.

Contact Information

Primary practice address
2322 Crescent Ridge Rd Daytona Beach FL 32118-5326
Phone: (706) 490-0810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10049 Florida

Profile Details

NPI number 1902310295
LBN Legal business name Gockley, Andrea
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2017
Last updated Dec 20th, 2022 - about 4 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.

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