Individual
PENELOPE JEAN GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LP
Contact information
Practice address
324 W SUPERIOR ST STE 400, DULUTH, MN 55802-1726
(218) 740-3026
(218) 740-3030
Mailing address
324 W SUPERIOR ST STE 400, DULUTH, MN 55802-1726
(218) 740-3026
(218) 740-3030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535S1N0
BCBS
MN
01
—
6245819
MEDICA UBH
MN
05
—
805716800
—
MN
Enumeration date
02/20/2007
Last updated
04/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us