Goudy, Tony
Goudy, Tony is an sole proprietor health care provider with primary practice located at Rt 4 & 20 South 2Nd Floor, Rock Cave WV 26234. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goudy, Tony can be contacted via phone (304) 924-9081.Contact Information
Primary practice address
Rt 4 & 20 South 2Nd Floor
Rock Cave WV 26234
Phone: (304) 924-9081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 671 | West Virginia |
Profile Details
| NPI number | 1467668889 |
|---|---|
| LBN Legal business name | Goudy, Tony |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467668889 | NPPES |
| West Virginia | MEDICAID | 0164853000 |
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