Gould, Tyler James
Gould, Tyler James is an sole proprietor health care provider with primary practice located at 1 Kennedy Dr Suite U8, South Burlington VT 05403-7152. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gould, Tyler James can be contacted via phone (802) 864-4513.Contact Information
Primary practice address
1 Kennedy Dr Suite U8
South Burlington VT 05403-7152
Phone: (802) 864-4513
Fax: (802) 878-1903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 048-0000788 | Vermont |
Profile Details
| NPI number | 1720150691 |
|---|---|
| LBN Legal business name | Gould, Tyler James |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 9th, 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 | 1720150691 | NPPES |
| Vermont | Other | 28635 | BLUE CROSS BLUE SHIELD VT |
| Vermont | MEDICAID | 1007391 | BLUE CROSS BLUE SHIELD VT |
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