Gotway, Bernard J.

Gotway, Bernard J. is an individual health care provider with primary practice located at 1701 Gateway Blvd Suite 447, Richardson TX 75080-3572. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gotway, Bernard J. can be contacted via phone (972) 918-9333.

Contact Information

Primary practice address
1701 Gateway Blvd Suite 447 Richardson TX 75080-3572
Phone: (972) 918-9333
Fax: (972) 783-8444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X TX2-2116HSP Texas

Profile Details

NPI number 1396721700
LBN Legal business name Gotway, Bernard J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396721700 NPPES
Texas Other 00BY87 BLUE CROSS BLUE SHIELD

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