Doctor Name: | MS. KRISTIN D GOULD |
NPI Number: | 1033346960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CAGS |
License Number: | |
Business Practice Address: | 45 Merrimack St #200 Lowell, MA - 018521729 |
Business Phone Number: | 9784592306 |
Business Fax Number: | |
Mailing Address: | 16 Newfield St, NORTH CHELMSFORD |
State: | MA |
Postal Code: | 018631711 |
Phone Number: | 9788088802 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |