Carol Lynn Moresco-Goniu in West Allis - Adult Development & Aging
Carol Lynn Moresco-Goniu - NPI 1295788115
Carol Lynn Moresco-Goniu is a Adult Development & Aging in West Allis, Wisconsin. Carol Lynn Moresco-Goniu practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Carol Lynn Moresco-Goniu is 1295788115. The last update date is 2010-07-17.
Carol Lynn Moresco-Goniu's current location address is 10201 W Lincoln Ave, West Allis, Wisconsin. You can contact this provider via phone number 2627819897. The mailing address for Carol Lynn Moresco-Goniu is 10201 W Lincoln Ave, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Lynn Moresco-Goniu |
|---|---|
| Address | 10201 W Lincoln Ave, West Allis, Wisconsin |
| Phone Number | 2627819897 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1295788115 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2010-07-17 |
Provider Mailing Address Detail
| Address | 10201 W Lincoln Ave |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532272136 |
| Phone Number | 2627819897 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 1151-057 |
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Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6146328001 | WI | BLUE CROSS BLUE SHIELD | |
| 39106900 | WI | -- |
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What is the Carol Lynn Moresco-Goniu's unique identification number?
The Carol Lynn Moresco-Goniu has been assigned the NPI (National Provider Identifier) Number 1295788115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Carol Lynn Moresco-Goniu's facilities are geographically located?
The facilities of Carol Lynn Moresco-Goniu are physically situated at the following location: 10201 W Lincoln Ave, West Allis, WI, 532272136.
What is the Carol Lynn Moresco-Goniu's specialty and taxonomy code?
The Carol Lynn Moresco-Goniu's specialty is Adult Development & Aging, and the corresponding taxonomy code is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295788115 to Carol Lynn Moresco-Goniu?
The Carol Lynn Moresco-Goniu received its 1295788115 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
When was the Carol Lynn Moresco-Goniu's information last updated?
The Carol Lynn Moresco-Goniu's information was last updated on 2010-07-17.