Ivy, Emily Gosser

Ivy, Emily Gosser is an individual health care provider with primary practice located at 2336 Se Ocean Blvd # 167 , Stuart FL 34996-3310. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ivy, Emily Gosser can be contacted via phone (772) 208-0071.

Contact Information

Primary practice address
2336 Se Ocean Blvd # 167 Stuart FL 34996-3310
Phone: (772) 208-0071
Fax: (772) 213-9558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-11892 Florida

Profile Details

NPI number 1356644678
LBN Legal business name Ivy, Emily Gosser
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated May 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356644678 NPPES
Florida MEDICAID 018583100

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