Dr Destarte Lindaine Good, PSYD is a
Psychologist - Clinical based in Coalinga, California. Dr Destarte Lindaine Good is licensed to practice in California (license number 31165) and her current practice location is
24511 W Jayne Ave, Coalinga, California. She can be reached at her office (for appointments etc.) via phone at
(559) 934-8077.
NPI number for Dr Destarte Lindaine Good is 1366949687 and her current mailing address is 24511 W Jayne Ave, Coalinga, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366949687.
Healthcare Provider's Profile
| Full Name | Dr Destarte Lindaine Good |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 24511 W Jayne Ave, Coalinga, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366949687
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 09/26/2019
Medical Identifiers
Medical identifiers for Dr Destarte Lindaine Good such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366949687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 31165 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Destarte Lindaine Good is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Destarte Lindaine Good, PSYD
24511 W Jayne Ave,
Coalinga, CA 93210-9503
Ph: (559) 934-8077 | Dr Destarte Lindaine Good, PSYD
24511 W Jayne Ave,
Coalinga, CA 93210-9503
Ph: (559) 934-8077 |
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