Goschke, Genni L.
Goschke, Genni L. is an individual health care provider with primary practice located at 1770 Rand Rd , Rapid City SD 57702-9347. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Goschke, Genni L. can be contacted via phone (605) 791-1514.Contact Information
Primary practice address
1770 Rand Rd
Rapid City SD 57702-9347
Phone: (605) 791-1514
Fax: (844) 831-2349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 479 | South Dakota |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4419 | Minnesota |
Profile Details
NPI number | 1679550065 |
---|---|
LBN Legal business name | Goschke, Genni L. |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2005 |
Last updated | Apr 15th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679550065 | NPPES |
Minnesota | Other | 0156360 | BCBS OF MN |
Minnesota | Other | 61 78580 | BCBS OF MN |
Minnesota | MEDICAID | 781137300 | BCBS OF MN |
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