Tyler James Gould in South Burlington - Psychologist
Tyler James Gould - NPI 1720150691
Tyler James Gould is a Psychologist in South Burlington, Vermont. Tyler James Gould practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tyler James Gould is 1720150691. The last update date is 2007-07-09.
Tyler James Gould's current location address is 1 Kennedy Dr, South Burlington, Vermont. You can contact this provider via phone number 8028644513 and fax number 8028781903. The mailing address for Tyler James Gould is 1 Kennedy Dr, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyler James Gould |
|---|---|
| Address | 1 Kennedy Dr, South Burlington, Vermont |
| Phone Number | 8028644513 |
| Fax Number | 8028781903 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1720150691 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1 Kennedy Dr |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54037152 |
| Phone Number | 8028644513 |
| Fax Number | 8028781903 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 048-0000788 |
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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 |
|---|---|---|---|
| 28635 | VT | BLUE CROSS BLUE SHIELD VT | |
| 1007391 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tyler James Gould by the Centers for Medicare & Medicaid Services?
The Tyler James Gould has been assigned the NPI (National Provider Identifier) 1720150691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tyler James Gould?
The Tyler James Gould is physically situated at 1 Kennedy Dr, in the city of South Burlington, state of VT, with the postal code 54037152.
What is the Tyler James Gould's area of specialization and corresponding taxonomy classification?
The Tyler James Gould's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Tyler James Gould receive the assignment of its 1720150691 from the Centers for Medicare & Medicaid Services?
The Tyler James Gould was issued its 1720150691 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the Tyler James Gould's information last updated?
The Tyler James Gould's information was last updated on 2007-07-09.