Ayo Maria Gooden, Ph.D., Abpbc, Llc

LBN: Ayo Maria Gooden, Ph.D., Abpbc, Llc
Ayo Maria Gooden, Ph.D., Abpbc, Llc is an health care organization with primary practice located at 1210 Cheyney Rd , West Chester PA 19382-8502. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Ayo Maria Gooden, Ph.D., Abpbc, Llc can be contacted via phone (610) 453-2849, or through Gooden, Ayo Maria via phone (610) 453-2849.

Contact Information

Primary practice address
1210 Cheyney Rd West Chester PA 19382-8502
Phone: (610) 453-2849
Fax: (484) 315-8186
Website:
Map and Directions
Authorized official contact:
Name: Gooden, Ayo Maria PH.D.
Phone: (610) 453-2849

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016573 Pennsylvania
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS016573 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016573 Pennsylvania
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS016573 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS016573 Pennsylvania
Behavioral Health & Social Service Providers / Family 103TF0000X PS016573 Pennsylvania
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PS016573 Pennsylvania

Profile Details

NPI number 1386023869
LBN Legal business name Ayo Maria Gooden, Ph.D., Abpbc, Llc
DBA Doing business as
Authorized official Gooden, Ayo Maria PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2015
Last updated May 29th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386023869 NPPES
Pennsylvania MEDICAID 1025453330001

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