Andrea L Gockley Psy D

LBN: Andrea L Gockley Psy D
Andrea L Gockley Psy D is an health care organization with primary practice located at 2322 Crescent Ridge Rd , Daytona Beach FL 32118-5326. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Andrea L Gockley Psy D can be contacted via phone (706) 490-0810, or through Gockley, Andrea via phone (706) 490-0810.

Contact Information

Primary practice address
2322 Crescent Ridge Rd Daytona Beach FL 32118-5326
Phone: (706) 490-0810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gockley, Andrea PSYD
Phone: (706) 490-0810

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1386356475
LBN Legal business name Andrea L Gockley Psy D
DBA Doing business as
Authorized official Gockley, Andrea PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2022
Last updated Dec 20th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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