Provider Demographics
NPI:1962553487
Name:GOUZE, MARSHALL PAUL (PHD)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:PAUL
Last Name:GOUZE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ALMANOR
Mailing Address - State:CA
Mailing Address - Zip Code:96137-9683
Mailing Address - Country:US
Mailing Address - Phone:805-895-1692
Mailing Address - Fax:
Practice Address - Street 1:1425 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-4605
Practice Address - Country:US
Practice Address - Phone:530-284-7990
Practice Address - Fax:530-284-1073
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5436103T00000X
FLPY4385103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist