Kirk Jude Douglas Goddard in Westland - Clinical
Kirk Jude Douglas Goddard - NPI 1871750232
Kirk Jude Douglas Goddard is a Clinical in Westland, Michigan. Kirk Jude Douglas Goddard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kirk Jude Douglas Goddard is 1871750232. The last update date is 2008-05-21.
Kirk Jude Douglas Goddard's current location address is 28303 Joy Rd, Westland, Michigan. You can contact this provider via phone number 7345131122. The mailing address for Kirk Jude Douglas Goddard is 28303 Joy Rd, Westland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Jude Douglas Goddard |
|---|---|
| Address | 28303 Joy Rd, Westland, Michigan |
| Phone Number | 7345131122 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., L.L. |
NPI Number Detail
| NPI Number | 1871750232 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 28303 Joy Rd |
|---|---|
| City | Westland |
| State | Michigan (MI) |
| Post Code | 481855524 |
| Phone Number | 7345131122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301007324 |
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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 |
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What is the unique 10-digit identification code issued to Kirk Jude Douglas Goddard by the Centers for Medicare & Medicaid Services?
The Kirk Jude Douglas Goddard has been assigned the NPI (National Provider Identifier) 1871750232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kirk Jude Douglas Goddard is physically located?
The Kirk Jude Douglas Goddard is situated at the following address: 28303 Joy Rd, Westland, MI 481855524.
What is Kirk Jude Douglas Goddard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kirk Jude Douglas Goddard is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871750232 to Kirk Jude Douglas Goddard?
The Centers for Medicare & Medicaid Services originally issued the 1871750232 to Kirk Jude Douglas Goddard on 2008-05-21.
When was the information related to Kirk Jude Douglas Goddard most recently updated or refreshed?
The details pertaining to the Kirk Jude Douglas Goddard, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY