Gossman, Larry J

Gossman, Larry J is an individual health care provider with primary practice located at 1263 N 15Th St , Laramie WY 82072-2343. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Gossman, Larry J can be contacted via phone (307) 745-8915.

Contact Information

Primary practice address
1263 N 15Th St Laramie WY 82072-2343
Phone: (307) 745-8915
Fax: (307) 745-8761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 446 Wyoming

Profile Details

NPI number 1285610287
LBN Legal business name Gossman, Larry J
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Mar 16th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285610287 NPPES
Wyoming Other 312371 BS
Wyoming Other 310 BS

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