Individual
DR. JAMES MICHAEL GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2743 MORRIS RD, ARDMORE, PA 19003-1909
(610) 642-4421
(610) 649-6133
Mailing address
2743 MORRIS RD, ARDMORE, PA 19003-1909
(610) 642-4421
(610) 649-6133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 005266L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PVR 110 R02
—
PA
Enumeration date
03/26/2007
Last updated
07/08/2007
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