Mark David Goodman in Hutchinson - Clinical
Mark David Goodman - NPI 1629039854
Mark David Goodman is a Clinical in Hutchinson, Kansas. Mark David Goodman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark David Goodman is 1629039854. The last update date is 2017-01-31.
Mark David Goodman's current location address is Po Box 1221, Hutchinson, Kansas. You can contact this provider via phone number 6206634802 and fax number 6206639867. The mailing address for Mark David Goodman is Po Box 1221, Hutchinson, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Goodman |
|---|---|
| Address | Po Box 1221, Hutchinson, Kansas |
| Phone Number | 6206634802 |
| Fax Number | 6206639867 |
| Sole Proprietor | N |
| Credentials | PHD FPPR |
NPI Number Detail
| NPI Number | 1629039854 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2017-01-31 |
Provider Mailing Address Detail
| Address | Po Box 1221 |
|---|---|
| City | Hutchinson |
| State | Kansas (KS) |
| Post Code | 675041221 |
| Phone Number | 6206634802 |
| Fax Number | 6206639867 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 374 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100237680A | KS | -- |
Post Comment/ Review Below
What is the Mark David Goodman's unique identification number?
The Mark David Goodman has been assigned the NPI (National Provider Identifier) Number 1629039854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mark David Goodman is geographically located?
The Mark David Goodman is physically situated at the following location: Po Box 1221, Hutchinson, KS, 675041221.
What is Mark David Goodman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark David Goodman's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629039854 to Mark David Goodman?
The Centers for Medicare & Medicaid Services originally issued the 1629039854 to Mark David Goodman on 2006-03-29.
When was the Mark David Goodman's information last updated?
The Mark David Goodman's information was last updated on 2017-01-31.