Gougis, Dominique D.
Gougis, Dominique D. is an sole proprietor health care provider with primary practice located at 325 Mdg, 340 Magnolia Circle , Tyndall Afb FL 32403. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gougis, Dominique D. can be contacted via phone (850) 283-7511.Contact Information
Primary practice address
325 Mdg, 340 Magnolia Circle
Tyndall Afb FL 32403
Phone: (850) 283-7511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60541003 | Washington |
Profile Details
| NPI number | 1780997130 |
|---|---|
| LBN Legal business name | Gougis, Dominique D. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2010 |
| Last updated | Sep 28th, 2022 - about 3 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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