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DR. RONALD A. GOEBEL PH.D.

Clinical Neuropsychologist

Shreveport, Louisiana

Provider NPI: 1386612042

Provider Information:
DR. RONALD A. GOEBEL PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
3218 LINE AVE SUITE 111 SHREVEPORT, LA 71104 US
Tel: 318-425-2000  Fax: 318-424-2601

Business Mailing Address:
3218 LINE AVE SUITE 111 SHREVEPORT, LA 71104 US
Tel: 318-425-2000  Fax: 318-424-2601

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
LA217

Other Provider Identifiers:

IssuerNumberStateType
UNITED BEHAVIORAL HEALTH83958 UBSLA01
VALUE OPTIONS009760LA01
BLUE CROSS/BLUE SHIELD20502LA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS LA - Page 1



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