| Midwest Neuropsychological Consultant | |
|
101 N Plaza East Blvd Ste 105 Evansville IN 47715-2804 | |
| (812) 402-5625 | |
| (812) 402-5627 |
| Full Name | Midwest Neuropsychological Consultant |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 101 N Plaza East Blvd Ste 105, Evansville, Indiana |
| Authorized Official Name and Position | Gregory E Goffinet (OWNER/MD) |
| Authorized Official Contact | 8124025625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Neuropsychological Consultant 101 N Plaza East Blvd Ste 105 Evansville IN 47715-2804 Ph: (812) 402-5625 | Midwest Neuropsychological Consultant 101 N Plaza East Blvd Ste 105 Evansville IN 47715-2804 Ph: (812) 402-5625 |
| NPI Number | 1386071207 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Medicare PECOS PAC ID | 7416170410 |
|---|---|
| Medicare Enrollment ID | O20140520001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386071207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Gregory E Goffinet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821329392 PECOS PAC ID: 1658406285 Enrollment ID: I20100320000246 |
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