Provider Demographics
NPI:1750540746
Name:GOYAL, MINAKSHI A (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:MINAKSHI
Middle Name:A
Last Name:GOYAL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 BURGER CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6941
Mailing Address - Country:US
Mailing Address - Phone:510-374-0672
Mailing Address - Fax:
Practice Address - Street 1:5674 STONERIDGE DR
Practice Address - Street 2:217
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8500
Practice Address - Country:US
Practice Address - Phone:510-374-0672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker