Healthcare Provider Details

I. General information

NPI: 1386310373
Provider Name (Legal Business Name): BRITTANY LYNNE GOSS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 WIND CHIME CT UNIT B
RALEIGH NC
27615-6433
US

IV. Provider business mailing address

150 WIND CHIME CT UNIT B
RALEIGH NC
27615-6433
US

V. Phone/Fax

Practice location:
  • Phone: 919-473-9124
  • Fax:
Mailing address:
  • Phone: 919-473-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number103432
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: