Most Relevant Information
Provider Data
NPI Number: | 1003351016 |
Provider Name: | CAROL GOULET PH.D. |
Entity Type: | Individual |
Taxonomy Code: | 103TC0700X |
Specialty: | Psychologist |
License Number: | 3430-57 |
Most Important Dates
Enumeration Date: | 12/29/2016 |
Last Updated: | 09/16/2020 |
Provider Practice Location
800 WEST AVE S
LA CROSSE
WI
546018806
Practice Location Phone/Fax
Phone: | 5072841373 |
Fax: |
Provider Mailing Location
PO BOX 1510
EAU CLAIRE
WI
547021510
Provider Mailing Phone/Fax
Phone: | 7158385222 |
Fax: |