Provider Demographics
NPI:1669532404
Name:GOULD, JEFFREY LOIS (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LOIS
Last Name:GOULD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1559B SLOAT BLVD # 206
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1222
Mailing Address - Country:US
Mailing Address - Phone:415-944-3610
Mailing Address - Fax:415-704-3490
Practice Address - Street 1:350 PARNASSUS AVE STE 309
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-3608
Practice Address - Country:US
Practice Address - Phone:415-944-3610
Practice Address - Fax:415-704-3490
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA612952084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry