Goldwasser, Richard

Goldwasser, Richard is an individual health care provider with primary practice located at 203 N Wabash Ave Suite 2000, Chicago IL 60601-2417. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Goldwasser, Richard can be contacted via phone (312) 444-1777.

Contact Information

Primary practice address
203 N Wabash Ave Suite 2000 Chicago IL 60601-2417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001278 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1659340776
LBN Legal business name Goldwasser, Richard
Credentials PH D LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659340776 NPPES
Other 1633146 ANTHEM BC BS
Other 62862 ANTHEM BC BS

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