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NPI Code Detail

MEDICARE: JUDY E. GOBLIRSCH LPC

MEDICARE: JUDY E. GOBLIRSCH LPC
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
1101YP2500XProfessional Counselor19420TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
119147OTHERTXPROVIDER NUMBER COMMFIRST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37055LCOTHERTXPROVIDER NUMBER BLUECROSS

General Provider Information

NPI Number : 1376552455
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY E. GOBLIRSCH LPC
Provider Business Mailing Address
First Line : 6007 WILDWIND DR
Second Line :
City : WINDCREST
State : TX
Zip : 78239-2128
Country : US
Telephone Number : 210-872-1068
Fax Number :
Provider Business Practice Location Address
First Line : 2939 W WOODLAWN AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78228-5015
Country : US
Telephone Number : 210-212-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2006
Last Update Date : 07/17/2024

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Directions to “ JUDY E. GOBLIRSCH LPC” Practice Location

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