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Organization

3 FEAT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAURI GOEL PSYD (CO-OWNER)
(310) 974-2701
Entity
Organization

Contact information

Practice address
1608 ANKEN ST, ROME, NY 13440-2304
(310) 974-2701
Mailing address
1608 ANKEN ST, ROME, NY 13440-2304
(310) 974-2701

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TC0700X
Clinical Psychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
103TE1100X
Exercise & Sports Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
225700000X
Massage Therapist

Other

Enumeration date
07/08/2020
Last updated
07/09/2020
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