Doctor Name: | TIMOTHY D. GOULD |
NPI Number: | 1295788867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D LPC |
License Number: | 002646 |
Business Practice Address: | 1427 Thomas Dr Suite 204 Cape Girardeau, MO - 637012129 |
Business Phone Number: | 5733351481 |
Business Fax Number: | 5733358610 |
Mailing Address: | 1427 Thomas Dr, Suite 204 CAPE GIRARDEAU |
State: | MO |
Postal Code: | 637012129 |
Phone Number: | 5733351481 |
Fax Number: | 5733358610 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 002646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |