Priscilla M Goss is a Specialist in Bangor, Maine. Priscilla M Goss practices all healthcare services and medical treatments related to Specialist. The NPI Number for Priscilla M Goss is 1619998333. The last update date is 2016-01-06.
Priscilla M Goss's current location address is 25 Hudson St, Bangor, Maine. You can contact this provider via phone number 2079473594 and fax number 2079477108. The mailing address for Priscilla M Goss is 25 Hudson St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Priscilla M Goss |
|---|---|
| Address | 25 Hudson St, Bangor, Maine |
| Phone Number | 2079473594 |
| Fax Number | 2079477108 |
| Sole Proprietor | Y |
| Credentials | LCSW, LADC |
NPI Number Detail
| NPI Number | 1619998333 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2016-01-06 |
Provider Mailing Address Detail
| Address | 25 Hudson St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 4401 |
| Phone Number | 2079473594 |
| Fax Number | 2079477108 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | LC750 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424240099 | ME | -- | |
| ME7503 | ME | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Priscilla M Goss by the Centers for Medicare & Medicaid Services?
The Priscilla M Goss has been assigned the NPI (National Provider Identifier) 1619998333. 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 physical location address of Priscilla M Goss?
The Priscilla M Goss is physically situated at 25 Hudson St, in the city of Bangor, state of ME, with the postal code 4401.
What is Priscilla M Goss's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Priscilla M Goss is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619998333 to Priscilla M Goss?
The Centers for Medicare & Medicaid Services assigned the 1619998333 to Priscilla M Goss on 2006-07-21.
As of what date was the information regarding Priscilla M Goss, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Priscilla M Goss, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-01-06.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH