Goss, Priscilla M

Goss, Priscilla M is an sole proprietor health care provider with primary practice located at 25 Hudson St , Bangor ME 04401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goss, Priscilla M can be contacted via phone (207) 947-3594.

Contact Information

Primary practice address
25 Hudson St Bangor ME 04401
Phone: (207) 947-3594
Fax: (207) 947-7108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC4072 Maine
Other Service Providers / Specialist 174400000X LC750 Maine

Profile Details

NPI number 1619998333
LBN Legal business name Goss, Priscilla M
Credentials LCSW, LADC, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jan 6th, 2016 - about 10 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 1619998333 NPPES
Maine MEDICAID 424240099
Maine Other ME7503

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