Doctor Name: | DR. ROBERT C MCCOUL |
NPI Number: | 1750594396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD, LCMHC |
License Number: | 205 |
Business Practice Address: | 25 Country Club Rd #702 Gilford, NH - 032496977 |
Business Phone Number: | 6035270868 |
Business Fax Number: | 6035282176 |
Mailing Address: | 25 Country Club Rd, #702 GILFORD |
State: | NH |
Postal Code: | 032496977 |
Phone Number: | 6035270868 |
Fax Number: | 6035282176 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 02/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |