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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 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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