Doctor Name: | MRS. BARBARA MICHELLE GOSS |
NPI Number: | 1063549673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801081305 |
Business Practice Address: | 1217 S Euclid Ave Bay City, MI - 487063311 |
Business Phone Number: | 9896679661 |
Business Fax Number: | 9896679680 |
Mailing Address: | 1217 S Euclid Ave, BAY CITY |
State: | MI |
Postal Code: | 487063311 |
Phone Number: | 9896679661 |
Fax Number: | 9896679680 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6801081305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |