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NPI Code Detail

MEDICARE: EMILY GODZAK

MEDICARE:   EMILY  GODZAK
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
1106H00000XMarriage & Family Therapist
2106H00000XMarriage & Family Therapist155614CA

General Provider Information

NPI Number : 1265011951
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY GODZAK
Provider Business Mailing Address
First Line : 1895 AVENIDA DEL ORO
Second Line : PO BOX 4753
City : OCEANSIDE
State : CA
Zip : 92056-5800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2124 S EL CAMINO REAL STE 101
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6211
Country : US
Telephone Number : 888-688-0248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 07/10/2025

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Directions to “ EMILY GODZAK ” Practice Location

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