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NPI Code Detail

MEDICARE: DR. ASHLEY GOBEIL PH.D.

MEDICARE:  DR. ASHLEY  GOBEIL  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY003939GA
2103TC1900XCounseling PsychologistPSY003939GA
3103T00000XPsychologistPY10343FL

General Provider Information

NPI Number : 1104174473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY GOBEIL PH.D.
Provider Business Mailing Address
First Line : 2941 W SR 434 STE 300
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-4415
Country : US
Telephone Number : 407-756-3930
Fax Number :
Provider Business Practice Location Address
First Line : 2941 W SR 434 STE 300
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-4415
Country : US
Telephone Number : 407-756-3930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2012
Last Update Date : 01/23/2025

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Directions to “ DR. ASHLEY GOBEIL PH.D.” Practice Location

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