Individual
BRYCE GOLD
Active
Individual
BRYCE GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06417
MD
103TC0700X
Clinical Psychologist
0810007393
VA
103TC0700X
Clinical Psychologist
11389EPASSPORT
MD
103TC0700X
Clinical Psychologist
PSY200001586
DC
Other
Enumeration date
03/08/2022
Last updated
12/31/2025
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