DR. ANISA GOFORTH, PHD, NCSP
Psychologist
Active
Individual
NPI: 1730585217
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | 1482 (MT) |
| Psychologist - School | 103TS0200X | No | 87674 (MT) |
Frequently Asked Questions
NPI 1730585217 is the National Provider Identifier for DR. ANISA GOFORTH, PHD, NCSP, a Psychologist provider located in Missoula, MT. This NPI was enumerated on November 11, 2014.
DR. ANISA GOFORTH, PHD, NCSP practices at 1444 MANSFIELD AVE, Missoula, MT 59812.
Quick Facts
- NPI
- 1730585217
- Type
- Individual
- Enumerated
- Nov 11, 2014
- Last Updated
- Nov 11, 2014
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