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NPI Code Detail

MEDICARE: SUNDIE GOULDING

MEDICARE: SUNDIE GOULDING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPA

General Provider Information

NPI Number : 1316165780
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNDIE GOULDING
Provider Business Mailing Address
First Line : 1830 ANTIETAM ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1124
Country : US
Telephone Number : 412-983-7795
Fax Number :
Provider Business Practice Location Address
First Line : 37634 ENTERPRISE CT
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-3440
Country : US
Telephone Number : 248-553-0902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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