Kelly Renee Goodness in Keller - Psychologist
Kelly Renee Goodness - NPI 1700911351
Kelly Renee Goodness is a Psychologist in Keller, Texas. Kelly Renee Goodness practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kelly Renee Goodness is 1700911351. The last update date is 2007-07-08.
Kelly Renee Goodness's current location address is 121 Olive St, Keller, Texas. You can contact this provider via phone number 8173794663 and fax number 8173790320. The mailing address for Kelly Renee Goodness is 121 Olive St, Keller, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Renee Goodness |
|---|---|
| Address | 121 Olive St, Keller, Texas |
| Phone Number | 8173794663 |
| Fax Number | 8173790320 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700911351 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 121 Olive St |
|---|---|
| City | Keller |
| State | Texas (TX) |
| Post Code | 762482238 |
| Phone Number | 8173794663 |
| Fax Number | 8173790320 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 31223 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31223 | TX | STATE BOARD OF EXAMINERS |
Post Comment/ Review Below
What is the Kelly Renee Goodness's 1700911351?
The Kelly Renee Goodness's NPI (National Provider Identifier) Number is 1700911351. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Renee Goodness located?
The Kelly Renee Goodness is located at 121 Olive St, Keller, TX 762482238.
What is Kelly Renee Goodness's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Renee Goodness is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700911351 to Kelly Renee Goodness?
The Centers for Medicare & Medicaid Services originally issued the 1700911351 to Kelly Renee Goodness on 2007-02-23.
When was the information regarding Kelly Renee Goodness, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Renee Goodness, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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