National Provider Identifier
Alexandria Marie Goben, LCAT, ATR-BC
Alexandria Marie Goben, LCAT, ATR-BC is listed in the NPPES registry with a primary specialty of Art Therapist in Geneva, NY and a listed phone number of (315) 209-4669.
Profile Overview
- NPI
- 1306438338
- Provider Type
- Individual
- Primary Specialty
- Art Therapist
- Enumeration Date
- February 10, 2021
- Last Updated
- February 10, 2021
Practice Location
- 590 Pre Emption RD
- Geneva, NY 14456-1372
Phone: (315) 209-4669
Mailing Address
- 433 William St
- Geneva, NY 14456-2115
Specialties
- Art Therapist (221700000X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1306438338
- Entity Type
- Individual
- Last Name
- Goben
- First Name
- Alexandria
- Middle Name
- Marie
- Credential
- LCAT, ATR-BC
- Provider Other Last Name
- Roberts
- Provider Other First Name
- Alexandria
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- LCAT, ATR-BC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 433 William St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2115
- Mailing Country
- US
- Mailing Phone
- (315) 521-7025
- Practice Street Address
- 590 Pre Emption RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1372
- Practice Country
- US
- Practice Phone
- (315) 209-4669
- Enumeration Date
- February 10, 2021
- Last Updated
- February 10, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Art Therapist (221700000X), Counselor (101Y00000X)