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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANISA N GOFORTH, PHD, NCSP

Active Sole Proprietor

DR. ANISA N GOFORTH, PHD, NCSP is a Psychologist healthcare provider located in MISSOULA, Montana. NPI 1730585217 is currently active in the NPPES registry. Verify at CMS.

Psychologist · MISSOULA, MT

Registration Details

NPI Number
1730585217
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2014 (11.770803907539 yrs)
Last Updated
Nov 11, 2014
Licenses
1482 (MT)
87674 (MT)
Sole Proprietor
Yes

Practice Information

Address
1444 MANSFIELD AVE
MISSOULA, MT, 598120001
Browse MT providers · Browse ZIP 59812
Phone
4064936471
Primary Specialty
Psychologist
103T00000X
Additional Specialty
School Psychologist

Other Psychologist Providers in MISSOULA, MT

Name Credential NPI
JANET R ALLISON PHD 1306825161
THERESA M REED PHD PC 1356370761
SUSAN K. DAY CP 1003832932
DR. JAY RICHARD PALMATIER PHD 1194735423
DR. KEVIN BRIAN DOHR PH.D. 1891875464
DR. DIANA L. BJORGEN PHD 1972665768
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.