Individual
SARAH EMILY GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
NLC.0104555
CO
Other
Enumeration date
08/04/2015
Last updated
05/12/2019
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