Gould, Diane
Gould, Diane is an sole proprietor health care provider with primary practice located at 1866 Sheridan Rd , Highland Park IL 60035-2547. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gould, Diane can be contacted via phone (847) 917-5385.Contact Information
Primary practice address
1866 Sheridan Rd
Highland Park IL 60035-2547
Phone: (847) 917-5385
Fax: (847) 673-8593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1084352 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-002270 | Illinois |
Profile Details
| NPI number | 1518103159 |
|---|---|
| LBN Legal business name | Gould, Diane |
| Credentials | LCSW, BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2009 |
| Last updated | Jan 4th, 2009 - about 17 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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