Individual
DR. BETH GOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1489 CHAIN BRIDGE RD, 203, MC LEAN, VA 22101-5724
(703) 505-3163
Mailing address
1489 CHAIN BRIDGE RD, 203, MC LEAN, VA 22101-5724
(703) 505-3163
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002067
VA
103T00000X
Psychologist
PSY1775
DC
Other
Enumeration date
02/01/2017
Last updated
03/20/2017
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