Edwin Baker Goodall in Gilford - Clinical
Edwin Baker Goodall - NPI 1134348329
Edwin Baker Goodall is a Clinical in Gilford, New Hampshire. Edwin Baker Goodall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edwin Baker Goodall is 1134348329. The last update date is 2007-07-09.
Edwin Baker Goodall's current location address is 401 Gilford Ave, Gilford, New Hampshire. You can contact this provider via phone number 6034967955 and fax number 6035282257. The mailing address for Edwin Baker Goodall is 401 Gilford Ave, Gilford, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Baker Goodall |
|---|---|
| Address | 401 Gilford Ave, Gilford, New Hampshire |
| Phone Number | 6034967955 |
| Fax Number | 6035282257 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134348329 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 401 Gilford Ave |
|---|---|
| City | Gilford |
| State | New Hampshire (NH) |
| Post Code | 32497500 |
| Phone Number | 6034967955 |
| Fax Number | 6035282257 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 196 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0602256YONHO1 | NH | ANTHEM BCBS | |
| 80622256 | NH | -- |
Post Comment/ Review Below
What is the Edwin Baker Goodall's 1134348329?
The Edwin Baker Goodall's NPI (National Provider Identifier) Number is 1134348329. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Edwin Baker Goodall's facilities are geographically located?
The facilities of Edwin Baker Goodall are physically situated at the following location: 401 Gilford Ave, Gilford, NH, 32497500.
What is the area of specialization for Edwin Baker Goodall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edwin Baker Goodall is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134348329 to Edwin Baker Goodall?
The Centers for Medicare & Medicaid Services originally issued the 1134348329 to Edwin Baker Goodall on 2007-04-25.
As of what date were the details pertaining to Edwin Baker Goodall last refreshed?
The information related to the Edwin Baker Goodall, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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