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DR. SHANNON GOULD PSY.D.

Clinical Neuropsychologist

Saratoga Springs, New York

Provider NPI: 1316963382

Provider Information:
DR. SHANNON  GOULD PSY.D.
Gender: M
Sole Proprietor


Practice Location:
7 WELLS ST SUITE 201 SARATOGA SPRINGS, NY 12866 US
Tel: 518-930-4615  Fax: 518-930-4715

Business Mailing Address:
7 WELLS ST SUITE 201 SARATOGA SPRINGS, NY 12866 US
Tel: 518-930-4615  Fax: 518-930-4715

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY016788
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
NY016788

Other Provider Identifiers:

IssuerNumberStateType
02814482NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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