Individual
LYDIA GOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6375 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1139
(702) 259-1903
Mailing address
70 TIDWELL LN, HENDERSON, NV 89074-3370
(702) 540-4328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3861
NV
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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