Gould, Stephanie Alice

Gould, Stephanie Alice is an individual health care provider with primary practice located at 25 W Main St , Conway NH 03818-6142. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gould, Stephanie Alice can be contacted via phone (603) 447-2111.

Contact Information

Primary practice address
25 W Main St Conway NH 03818-6142
Phone: (603) 447-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 541 New Hampshire

Profile Details

NPI number 1306984083
LBN Legal business name Gould, Stephanie Alice
Credentials MED.,LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Sep 1st, 2010 - about 15 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 1306984083 NPPES
New Hampshire MEDICAID 30427904

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