Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY25502 | CA |
Y | 103T00000X | Psychologist | PSY25502 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY25502 | CA |
NPI | 1164858866 |
---|---|
Provider Name | Dr. Christine Elizabeth Gould |
First Address | Palo Alto, CA 94304-1207 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2013 |
Last Update Date | 25/08/2021 |