Glenn T Goodwin in Edmonds - Clinical Neuropsychologist
Glenn T Goodwin - NPI 1346384013
Glenn T Goodwin is a Clinical Neuropsychologist in Edmonds, Washington. Glenn T Goodwin practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Glenn T Goodwin is 1346384013. The last update date is 2007-07-08.
Glenn T Goodwin's current location address is 555 Dayton St, Edmonds, Washington. You can contact this provider via phone number 2066630816 and fax number 4256728655. The mailing address for Glenn T Goodwin is 555 Dayton St, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn T Goodwin |
|---|---|
| Address | 555 Dayton St, Edmonds, Washington |
| Phone Number | 2066630816 |
| Fax Number | 4256728655 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1346384013 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 Dayton St |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980203601 |
| Phone Number | 2066630816 |
| Fax Number | 4256728655 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY00001999 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113963 | WA | L&I PROVIDER NO. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glenn T Goodwin?
The Glenn T Goodwin has been issued the NPI (National Provider Identifier) 1346384013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Glenn T Goodwin's physical address?
The Glenn T Goodwin is physically located at 555 Dayton St, in the city of Edmonds, WA, with the postal code 980203601.
What is the Glenn T Goodwin's area of specialization and corresponding taxonomy classification?
The Glenn T Goodwin's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Glenn T Goodwin receive the assignment of its 1346384013 from the Centers for Medicare & Medicaid Services?
The Glenn T Goodwin was issued its 1346384013 by the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the Glenn T Goodwin's information last updated?
The Glenn T Goodwin's information was last updated on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI