Bernard J. Gotway in Richardson - Psychologist
Bernard J. Gotway - NPI 1396721700
Bernard J. Gotway is a Psychologist in Richardson, Texas. Bernard J. Gotway practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bernard J. Gotway is 1396721700. The last update date is 2007-07-08.
Bernard J. Gotway's current location address is 1701 Gateway Blvd, Richardson, Texas. You can contact this provider via phone number 9729189333 and fax number 9727838444. The mailing address for Bernard J. Gotway is 1701 Gateway Blvd, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard J. Gotway |
|---|---|
| Address | 1701 Gateway Blvd, Richardson, Texas |
| Phone Number | 9729189333 |
| Fax Number | 9727838444 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1396721700 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1701 Gateway Blvd |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750803572 |
| Phone Number | 9729189333 |
| Fax Number | 9727838444 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | TX2-2116HSP |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00BY87 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Bernard J. Gotway by the Centers for Medicare & Medicaid Services?
The Bernard J. Gotway has been assigned the NPI (National Provider Identifier) 1396721700. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bernard J. Gotway is physically located?
The Bernard J. Gotway is physically situated at the following address: 1701 Gateway Blvd, Richardson, TX, 750803572.
What is Bernard J. Gotway's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bernard J. Gotway is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did Bernard J. Gotway receive its 1396721700 assignment from the Centers for Medicare & Medicaid Services?
The Bernard J. Gotway was assigned its 1396721700 on 2005-12-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bernard J. Gotway most recently updated or revised?
The details related to Bernard J. Gotway, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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