Antje Fw Goeken, - Psychologist in Pueblo, CO

Antje Fw Goeken, is a Psychologist based in Pueblo, Colorado. Antje Fw Goeken is licensed to practice in Colorado (license number 2121) and her current practice location is 1600 W 24th St, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at (719) 546-4589.

NPI number for Antje Fw Goeken is 1396781266 and her current mailing address is 1600 W 24th St, Pueblo, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396781266.

Contact Information

Antje Fw Goeken,
1600 W 24th St,
Pueblo, CO 81003-1411
(719) 546-4589
Not Available



Healthcare Provider's Profile

Full NameAntje Fw Goeken
GenderFemale
SpecialityPsychologist
Location1600 W 24th St, Pueblo, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396781266
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Antje Fw Goeken such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396781266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 2121 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antje Fw Goeken is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Antje Fw Goeken,
1600 W 24th St,
Pueblo, CO 81003-1411

Ph: (719) 546-4589
Antje Fw Goeken,
1600 W 24th St,
Pueblo, CO 81003-1411

Ph: (719) 546-4589

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› Verified 3 days ago


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