Lawrence Howard Goodenow in Flint - Clinical

Lawrence Howard Goodenow - NPI 1346222130

Lawrence Howard Goodenow is a Clinical in Flint, Michigan. Lawrence Howard Goodenow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lawrence Howard Goodenow is 1346222130. The last update date is 2010-06-12.

Lawrence Howard Goodenow's current location address is 4448 Oakbridge Dr, Flint, Michigan. You can contact this provider via phone number 8103425333 and fax number 8103421590. The mailing address for Lawrence Howard Goodenow is 4448 Oakbridge Dr, Flint, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Howard Goodenow
Address 4448 Oakbridge Dr, Flint, Michigan
Phone Number 8103425333
Fax Number 8103421590
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1346222130
Provider Enumeration Date 2005-11-17
Last Updated Date 2010-06-12

Provider Mailing Address Detail

Address 4448 Oakbridge Dr
City Flint
State Michigan (MI)
Post Code 485325494
Phone Number 8103425333
Fax Number 8103421590

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6301006703
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
1002469 MI HEALTH PLUS OF MI
1306896956 LIST SERVICES GROUP NPI
680B512650 BCBSM-BCN-FEP
1962541318 MCLAREN PHD GROUP NPI #
G96288055 LIST SERVICES MEDICARE ID
1018118 MI MCLAREN HEALTH ADVANTAGE
56350 VALUE OPTIONS
1018118 MI MCLAREN HEALTH PLAN

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FAQs about Lawrence Howard Goodenow

What is the unique 10-digit identification code issued to Lawrence Howard Goodenow by the Centers for Medicare & Medicaid Services?

The Lawrence Howard Goodenow has been assigned the NPI (National Provider Identifier) 1346222130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Lawrence Howard Goodenow is physically located?

The Lawrence Howard Goodenow is physically situated at the following address: 4448 Oakbridge Dr, Flint, MI, 485325494.

What is Lawrence Howard Goodenow's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lawrence Howard Goodenow's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date was the 1346222130 assigned to Lawrence Howard Goodenow?

The Lawrence Howard Goodenow was issued its 1346222130 on 2005-11-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Lawrence Howard Goodenow most recently updated or revised?

The details related to Lawrence Howard Goodenow, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-12.

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