Provider Demographics
NPI:1770464794
Name:GOULD PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:GOULD PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-804-8553
Mailing Address - Street 1:15 DOUGHERTY BLVD APT R3
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1147
Mailing Address - Country:US
Mailing Address - Phone:610-804-8553
Mailing Address - Fax:
Practice Address - Street 1:15 DOUGHERTY BLVD APT R3
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1147
Practice Address - Country:US
Practice Address - Phone:610-804-8553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty