Lisa Goggins, is a
Psychologist - School based in Dolton, Illinois. Lisa Goggins is licensed to practice in * (Not Available) (license number ) and her current practice location is
333 E 142nd St, Dolton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 849-9848.
NPI number for Lisa Goggins is 1659881027 and her current mailing address is 401 Saddle Run Ln, Beecher, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659881027.
Healthcare Provider's Profile
| Full Name | Lisa Goggins |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 333 E 142nd St, Dolton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659881027
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 10/11/2017
Medical Identifiers
Medical identifiers for Lisa Goggins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659881027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Goggins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Goggins,
401 Saddle Run Ln,
Beecher, IL 60401-3723
Ph: () - | Lisa Goggins,
333 E 142nd St,
Dolton, IL 60419-1109
Ph: (708) 849-9848 |
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