Individual
TERRA DEANN GOANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, BS, AS
Contact information
Practice address
121 W MAPLE AVE, ENID, OK 73701-4027
(580) 234-8865
(580) 234-8361
Mailing address
121 W MAPLE AVE, ENID, OK 73701-4027
(580) 234-8865
(580) 234-8361
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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