| Rebecca Goffman, Psy.d., Lp, Llc | |
|
2499 Rice St Suite 70 Roseville MN 55113-3724 | |
| (651) 263-8630 | |
| Not Available |
| Full Name | Rebecca Goffman, Psy.d., Lp, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2499 Rice St, Roseville, Minnesota |
| Authorized Official Name and Position | Rebecca Lynn Goffman (PSYCHOLOGIST) |
| Authorized Official Contact | 6512638630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Goffman, Psy.d., Lp, Llc 2499 Rice St Suite 70 Roseville MN 55113-3724 Ph: (651) 263-8630 | Rebecca Goffman, Psy.d., Lp, Llc 2499 Rice St Suite 70 Roseville MN 55113-3724 Ph: (651) 263-8630 |
| NPI Number | 1225445232 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225445232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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