| Laura G Goulden Phd Llc | |
|
2450 Old Shell Rd Mobile AL 36607-3020 | |
| (251) 476-9011 | |
| Not Available |
| Full Name | Laura G Goulden Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2450 Old Shell Rd, Mobile, Alabama |
| Authorized Official Name and Position | Laura G Goulden (PSYCHOLOGIST) |
| Authorized Official Contact | 2514769011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura G Goulden Phd Llc 2450 Old Shell Rd Mobile AL 36607-3020 Ph: (251) 476-9011 | Laura G Goulden Phd Llc 2450 Old Shell Rd Mobile AL 36607-3020 Ph: (251) 476-9011 |
| NPI Number | 1194486639 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 2163804287 |
|---|---|
| Medicare Enrollment ID | O20220804003546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194486639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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