Provider Demographics
NPI:1043424146
Name:LIVINGSTON-GOSCHI, BARBARA (PSY D)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:LIVINGSTON-GOSCHI
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1923
Mailing Address - Country:US
Mailing Address - Phone:847-920-1993
Mailing Address - Fax:
Practice Address - Street 1:480 N MCCLURG CT
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4326
Practice Address - Country:US
Practice Address - Phone:312-595-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-004675103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical