Most Relevant Information
Provider Data
| NPI Number: | 1003048885 |
| Provider Name: | REBECCA GOFFMAN LP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | LP5120 |
Most Important Dates
| Enumeration Date: | 08/13/2009 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
9220 BASS LAKE RD STE 255
NEW HOPE
MN
554283019
Practice Location Phone/Fax
| Phone: | 7632254052 |
| Fax: |
Provider Mailing Location
22426 SAINT FRANCIS BLVD
ANOKA
MN
553039670
Provider Mailing Phone/Fax
| Phone: | 7637537310 |
| Fax: | 7637536529 |