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Individual

DEBORAH JEAN GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
23210 CHAGRIN BLVD, SUITE 400, BEACHWOOD, OH 44122-5429
(216) 831-6466
(216) 766-6083
Mailing address
23210 CHAGRIN BLVD, SUITE 400, BEACHWOOD, OH 44122-5429
(216) 831-6466
(216) 766-6083

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
35036148
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000345557
BLUE CROSS SHIELD
05
880908
OH
Enumeration date
12/05/2006
Last updated
07/08/2007
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