Individual
FRANCES R. GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1730
(260) 460-3100
(260) 460-3130
Mailing address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1730
(260) 460-3100
(260) 460-3130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20040766A
IN
103TC0700X
Clinical Psychologist
20040766A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263250
—
IN
05
—
2169317
—
OH
01
—
680012060
RR MEDICARE
IN
Enumeration date
06/30/2005
Last updated
02/21/2013
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