Provider Demographics
NPI:1003487281
Name:GOUCHER COLLEGE STUDENT HEALTH CENTER
Entity Type:Organization
Organization Name:GOUCHER COLLEGE STUDENT HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSC. DIRECTOR, STUDENT HEALTH CTR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP-BC
Authorized Official - Phone:410-337-6050
Mailing Address - Street 1:1021 DULANEY VALLEY RD
Mailing Address - Street 2:STUDENT HEALTH CENTER
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1021 DULANEY VALLEY RD
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2753
Practice Address - Country:US
Practice Address - Phone:410-337-6050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service