Gould, M Corbin
Gould, M Corbin is an sole proprietor health care provider with primary practice located at 149 State Street - The Redfield House , Montpelier VT 05602-0560. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gould, M Corbin can be contacted via phone (802) 223-4111.Contact Information
Primary practice address
149 State Street - The Redfield House
Montpelier VT 05602-0560
Phone: (802) 223-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 047-0000702 | Vermont |
Profile Details
| NPI number | 1780760314 |
|---|---|
| LBN Legal business name | Gould, M Corbin |
| Credentials | LPMA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Aug 6th, 2020 - about 6 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 | 1780760314 | NPPES |
| Vermont | MEDICAID | 470000702 | |
| Vermont | Other | 776927000 | |
| Vermont | Other | 614320 | |
| Vermont | Other | 062-58242 | |
| Vermont | MEDICAID | 1008048 |
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