Gould, James Michael
Gould, James Michael is an sole proprietor health care provider with primary practice located at 2743 Morris Rd , Ardmore PA 19003-1909. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gould, James Michael can be contacted via phone (610) 642-4421.Contact Information
Primary practice address
2743 Morris Rd
Ardmore PA 19003-1909
Phone: (610) 642-4421
Fax: (610) 649-6133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS 005266L | Pennsylvania |
Profile Details
| NPI number | 1225156508 |
|---|---|
| LBN Legal business name | Gould, James Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| 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 | 1225156508 | NPPES |
| Pennsylvania | MEDICAID | PVR 110 R02 |
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