Provider Demographics
NPI:1912654237
Name:GOINGS, FLORENCE A
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:A
Last Name:GOINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13774 NANCY ST
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879-8894
Mailing Address - Country:US
Mailing Address - Phone:419-796-9966
Mailing Address - Fax:
Practice Address - Street 1:13774 NANCY ST
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879-8894
Practice Address - Country:US
Practice Address - Phone:419-796-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty