Gould, Timothy D.
Gould, Timothy D. is an sole proprietor health care provider with primary practice located at 903 S Kingshighway St , Sikeston MO 63801-4415. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gould, Timothy D. can be contacted via phone (573) 979-3676.Contact Information
Primary practice address
903 S Kingshighway St
Sikeston MO 63801-4415
Phone: (573) 979-3676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 002646 | Missouri |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CS002646 | Missouri |
Profile Details
| NPI number | 1295788867 |
|---|---|
| LBN Legal business name | Gould, Timothy D. |
| Credentials | ED.D LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295788867 | NPPES |
| Missouri | Other | 431823864 | MISSOURI ALLIANCE |
| Missouri | Other | 11-3764474 | MISSOURI ALLIANCE |
| Missouri | Other | 420291 | MISSOURI ALLIANCE |
| Missouri | MEDICAID | 493840714 | MISSOURI ALLIANCE |
| Missouri | Other | 49906211 | MISSOURI ALLIANCE |
| Missouri | Other | 420291 | MISSOURI ALLIANCE |
| Missouri | Other | 431823864 | MISSOURI ALLIANCE |
| Missouri | Other | 156007 | MISSOURI ALLIANCE |
| Missouri | Other | 431823864 | MISSOURI ALLIANCE |
| Missouri | MEDICAID | 311575142 | MISSOURI ALLIANCE |
| Missouri | Other | 420291 | MISSOURI ALLIANCE |
| Missouri | Other | 100387 | MISSOURI ALLIANCE |
| Missouri | Other | 431823864 | MISSOURI ALLIANCE |
| Missouri | Other | 431823864 | MISSOURI ALLIANCE |
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