Individual
DR. RONALD A. GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 425-2000
Mailing address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 425-2000
(318) 424-2601
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
217
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009760
VALUE OPTIONS
LA
01
—
20502
BLUE CROSS/BLUE SHIELD
LA
01
—
83958 UBS
UNITED BEHAVIORAL HEALTH
LA
Enumeration date
03/09/2006
Last updated
01/08/2020
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