Ms Nicole Ivory Goicuria, MA - Counselor in Philadelphia, PA

Ms Nicole Ivory Goicuria, MA is a Counselor - Mental Health based in Philadelphia, Pennsylvania. Ms Nicole Ivory Goicuria is licensed to practice in * (Not Available) (license number ) and her current practice location is 2514 N Broad St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (215) 599-2808.

NPI number for Ms Nicole Ivory Goicuria is 1003096561 and her current mailing address is 2514 N Broad St, Philadelphia, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003096561.

Contact Information

Ms Nicole Ivory Goicuria, MA
2514 N Broad St,
Philadelphia, PA 19132-4013
(215) 599-2808
(215) 599-1041

Map and Direction


Healthcare Provider's Profile

Full NameMs Nicole Ivory Goicuria
GenderFemale
SpecialityCounselor - Mental Health
Location2514 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003096561
  • Provider Enumeration Date: 11/13/2007
  • Last Update Date: 11/13/2007

Medical Identifiers

Medical identifiers for Ms Nicole Ivory Goicuria such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003096561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (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. Ms Nicole Ivory Goicuria 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 AddressPractice Location Address
Ms Nicole Ivory Goicuria, MA
2514 N Broad St,
Philadelphia, PA 19132-4013

Ph: (215) 599-2808
Ms Nicole Ivory Goicuria, MA
2514 N Broad St,
Philadelphia, PA 19132-4013

Ph: (215) 599-2808

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