Individual
EVA RUTH GOCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
173 SOUTH COUNTRY ROAD, BELLPORT, NY 11713
(631) 776-1305
(631) 776-1305
Mailing address
173 SOUTH COUNTRY ROAD, BELLPORT, NY 11713
(631) 776-1305
(631) 776-1305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6149279
UBH
NY
01
—
P1245281
OXFORD
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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