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Individual

SARA REBECCA GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2005
KS
103TC2200X
Clinical Child & Adolescent Psychologist
2011031728
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841281805
KS
Enumeration date
09/18/2008
Last updated
12/09/2014
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