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
Phone: (312) 444-1777
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659340776 | NPPES |
Other | 1633146 | ANTHEM BC BS | |
Other | 62862 | ANTHEM BC BS |
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