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RONALD A GOEBEL & MARK P VIGEN PTR NPI 1477732188


NPI Information

NPI: 1477732188
Provider Name: RONALD A GOEBEL & MARK P VIGEN PTR

Doing Business As: GOEBEL & VIGEN

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3341 YOUREE DR STE 20A
SHREVEPORT, LA
ZIP 71105
Phone: (318) 425-2000
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RONALD A GOEBEL & MARK P VIGEN PTR is a clinical psychologist in Shreveport, LA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. RONALD A GOEBEL & MARK P VIGEN PTR NPI is 1477732188. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Goebel & Vigen.

The provider's business location address is:

3341 YOUREE DR STE 20A
SHREVEPORT, LA
ZIP 71105-149
Phone: (318) 425-2000
Fax: (318) 424-2601

The provider's authorized official is Ronald A. Goebel .
The authorized official title is Partner and has the following contact phone number (318) 425-2000.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 1/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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