Goudeau, Bridget

Goudeau, Bridget is an sole proprietor health care provider with primary practice located at 3027 Russett Pl W , Pearland TX 77584-7633. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Goudeau, Bridget can be contacted via phone (832) 545-9018.

Contact Information

Primary practice address
3027 Russett Pl W Pearland TX 77584-7633
Phone: (832) 545-9018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X Texas

Profile Details

NPI number 1962786665
LBN Legal business name Goudeau, Bridget
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Sep 29th, 2011 - about 15 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 1962786665 NPPES
Texas MEDICAID 0725

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