Individual
BARRIE KRELLEN GOCHMAN
Active
Individual
BARRIE KRELLEN GOCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296803
MHN,TRICARE
—
01
—
80740001
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/19/2007
Last updated
10/21/2016
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