Provider Demographics
NPI:1528115565
Name:ROBERT F. GOULD, INC
Entity type:Organization
Organization Name:ROBERT F. GOULD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PULEO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:401-738-9953
Mailing Address - Street 1:215 TOLL GATE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4458
Mailing Address - Country:US
Mailing Address - Phone:401-738-9953
Mailing Address - Fax:401-738-7555
Practice Address - Street 1:215 TOLL GATE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4458
Practice Address - Country:US
Practice Address - Phone:401-738-9953
Practice Address - Fax:401-738-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI127231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI45-00027OtherUNITEDHEALTHPLAN
RI24057-0OtherBLUE CROSS
RI11616402OtherAMERICHOICE
RI402563OtherBLUE CHIP
RIBH00020Medicaid
RI06210OtherHEARUSA
RI2102OtherNEIGHBORHOOD HEALTH