Individual
GENNI L. GOSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1770 RAND RD, RAPID CITY, SD 57702-9347
(605) 791-1514
(844) 831-2349
Mailing address
1770 RAND RD, RAPID CITY, SD 57702-9347
(605) 791-1514
(844) 831-2349
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
479
SD
103T00000X
Psychologist
LP4419
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156360
BCBS OF MN
MN
01
—
61 78580
MEDICA
MN
05
—
781137300
—
MN
Enumeration date
12/27/2005
Last updated
04/15/2024
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