Provider Demographics
NPI:1922199371
Name:GOULD, KAREN SUZANNE (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUZANNE
Last Name:GOULD
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018218103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical