Goff, Frances R.

Goff, Frances R. is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1730. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Goff, Frances R. can be contacted via phone (260) 460-3100.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1730
Fax: (260) 460-3130
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040766A Indiana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20040766A Indiana

Profile Details

NPI number 1780681254
LBN Legal business name Goff, Frances R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780681254 NPPES
Indiana Other 680012060 RR MEDICARE
Indiana MEDICAID 200263250 RR MEDICARE
Indiana MEDICAID 2169317 RR MEDICARE

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