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Contact Information

GOSHA DONNELLY, PhD
11 BEAVER MEADOW ROAD
SUITE 4, OFFICE 2
NORWICH, VT05055
 Phone: 802-649-2266
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GOSHA DONNELLY · (Female)

NPI Number 1760416101
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 0480000708
  • VT Medicaid OVN 1837
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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