Provider Demographics
NPI:1689233637
Name:THOMPSON-GOGGS, ROBYN AMBER (LPC UNDER SUPERVISIO)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:AMBER
Last Name:THOMPSON-GOGGS
Suffix:
Gender:F
Credentials:LPC UNDER SUPERVISIO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11616 KINGSWICK DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-2917
Mailing Address - Country:US
Mailing Address - Phone:405-306-2238
Mailing Address - Fax:
Practice Address - Street 1:2113 W BRITTON RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-1505
Practice Address - Country:US
Practice Address - Phone:405-840-9000
Practice Address - Fax:405-840-9017
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor