Goulet, Tyler Eugene
Goulet, Tyler Eugene is an individual health care provider with primary practice located at 4892 San Pablo Dam Rd , El Sobrante CA 94803-3222. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Goulet, Tyler Eugene can be contacted via phone (510) 222-3946.Contact Information
Primary practice address
4892 San Pablo Dam Rd
El Sobrante CA 94803-3222
Phone: (510) 222-3946
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 13521 | California |
Profile Details
NPI number | 1508587817 |
---|---|
LBN Legal business name | Goulet, Tyler Eugene |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2022 |
Last updated | Apr 7th, 2023 - about last year |
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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