Organization Name: | INNER SIGHT PSYCHOTHERAPY, PC |
NPI Number: | 1164772125 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER VIGEANT GOULD (CO-OWNER) |
Mailing Address: | 210 N Main St Sharon |
State: | MA US |
Postal Code: | 020671229 |
Phone Number: | 7818060336 |
Fax Number: | 7818060153 |
NPI Enumeration Date: | 09/17/2012 |
NPI Last Update Date: | 09/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 111617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |