Provider Demographics
NPI:1306635149
Name:GOIN, QUINN (CLC)
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:
Last Name:GOIN
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10917 KLONDIKE LN
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-3142
Mailing Address - Country:US
Mailing Address - Phone:940-999-6538
Mailing Address - Fax:
Practice Address - Street 1:10917 KLONDIKE LN
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-3142
Practice Address - Country:US
Practice Address - Phone:940-999-6538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
364002174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN