Gaudet, Richard Albert

Gaudet, Richard Albert is an sole proprietor health care provider with primary practice located at 535 Walnut Ln , Philadelphia PA 19128-1742. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gaudet, Richard Albert can be contacted via phone (215) 298-4515.

Contact Information

Primary practice address
535 Walnut Ln Philadelphia PA 19128-1742
Phone: (215) 298-4515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSO 16156 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 00052525 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X 35S100457500 New Jersey

Profile Details

NPI number 1669627477
LBN Legal business name Gaudet, Richard Albert
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2008
Last updated Nov 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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