Gould, Shannon

Gould, Shannon is an sole proprietor health care provider with primary practice located at 7 Wells St Suite 201, Saratoga Springs NY 12866-1200. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gould, Shannon can be contacted via phone (518) 930-4615.

Contact Information

Primary practice address
7 Wells St Suite 201 Saratoga Springs NY 12866-1200
Phone: (518) 930-4615
Fax: (518) 930-4715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 016788 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016788 New York

Profile Details

NPI number 1316963382
LBN Legal business name Gould, Shannon
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Feb 2nd, 2015 - about 9 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 1316963382 NPPES
New York MEDICAID 02814482

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