Gould, Peter

Gould, Peter is an sole proprietor health care provider with primary practice located at 10615 Judicial Dr 102, Fairfax VA 22030-7501. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gould, Peter can be contacted via phone (703) 346-0837.

Contact Information

Primary practice address
10615 Judicial Dr 102 Fairfax VA 22030-7501
Phone: (703) 346-0837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003885 Virginia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0810003885 Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810003885 Virginia

Profile Details

NPI number 1184890204
LBN Legal business name Gould, Peter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2008
Last updated May 7th, 2010 - about 16 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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