Provider Demographics
NPI:1932498177
Name:GODBY, ALISON KARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:KARA
Last Name:GODBY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:GODBY
Other - Last Name:LIGOCKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:6330 LYNDON B JOHNSON FWY STE 139
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6425
Mailing Address - Country:US
Mailing Address - Phone:972-768-0981
Mailing Address - Fax:
Practice Address - Street 1:6330 LYNDON B JOHNSON FWY STE 139
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6425
Practice Address - Country:US
Practice Address - Phone:972-768-0981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34805103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist