Doctor Name: | DR. PATRICK JOSEPH GOULD |
NPI Number: | 1154661890 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPSYCH LCPC |
License Number: | CC3884 |
Business Practice Address: | 110 Tandberg Trl Suite E Windham, ME - 040625206 |
Business Phone Number: | 2076204982 |
Business Fax Number: | |
Mailing Address: | 148 Kennebec Dr, FARMINGDALE |
State: | ME |
Postal Code: | 043442951 |
Phone Number: | 2076204982 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2013 |
NPI Last Update Date: | 02/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CC3884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |