Doctor Name: | MISS HEATHER LYNN GOULD |
NPI Number: | 1003179375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW-C |
License Number: | 14005 |
Business Practice Address: | 11311 Mccormick Rd Ste 350 Hunt Valley, MD - 210318618 |
Business Phone Number: | 4438498298 |
Business Fax Number: | |
Mailing Address: | 1034 Searay Ct, ABINGDON |
State: | MD |
Postal Code: | 210091009 |
Phone Number: | 4439344827 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 14005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |