Provider Demographics
NPI:1356833891
Name:GOYAL, NEHA GODIWALA (PHD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:GODIWALA
Last Name:GOYAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:NIRANJAN
Other - Last Name:GODIWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 EAGLE RD APT 3F
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-5357
Mailing Address - Country:US
Mailing Address - Phone:704-965-1291
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE FL 4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-353-7019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5138103TC0700X
CA29811103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical