| Doctor Name: | MR. JOHN H GOULD |
| NPI Number: | 1003965054 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS PSYCHOLOGY |
| License Number: | 0065 |
| Business Practice Address: | 650 High St Danville, KY - 404221235 |
| Business Phone Number: | 8592531686 |
| Business Fax Number: | 8592542743 |
| Mailing Address: | 1351 Newtown Pike, LEXINGTON |
| State: | KY |
| Postal Code: | 405111217 |
| Phone Number: | 8592531686 |
| Fax Number: | 8592542743 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |