Individual
DR. SHANNON GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7 WELLS ST, SUITE 201, SARATOGA SPRINGS, NY 12866-1200
(518) 930-4615
(518) 930-4715
Mailing address
7 WELLS ST, SUITE 201, SARATOGA SPRINGS, NY 12866-1200
(518) 930-4615
(518) 930-4715
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
016788
NY
103T00000X
Psychologist
Primary
016788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02814482
—
NY
Enumeration date
07/14/2006
Last updated
02/02/2015
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