Gockley, Andrea
Gockley, Andrea is an individual health care provider with primary practice located at 2322 Crescent Ridge Rd , Daytona Beach FL 32118-5326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gockley, Andrea can be contacted 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:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY10049 | Florida |
Profile Details
NPI number | 1902310295 |
---|---|
LBN Legal business name | Gockley, Andrea |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2017 |
Last updated | Dec 20th, 2022 - about 2 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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