Gould, Sara Rebecca
Gould, Sara Rebecca is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gould, Sara Rebecca can be contacted via phone (816) 234-3000.Contact Information
Primary practice address
2401 Gillham Rd
Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2005 | Kansas |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2011031728 | Missouri |
Profile Details
NPI number | 1033368659 |
---|---|
LBN Legal business name | Gould, Sara Rebecca |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 18th, 2008 |
Last updated | Dec 9th, 2014 - about 11 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 | 1033368659 | NPPES |
Kansas | MEDICAID | 1841281805 |
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