Rodger Goddard is a Clinical in South Orange, New Jersey. Rodger Goddard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rodger Goddard is 1689897506. The last update date is 2007-07-08.
Rodger Goddard's current location address is 359 W End Rd, South Orange, New Jersey. You can contact this provider via phone number 9737630991. The mailing address for Rodger Goddard is 359 W End Rd, South Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodger Goddard |
|---|---|
| Address | 359 W End Rd, South Orange, New Jersey |
| Phone Number | 9737630991 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689897506 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 359 W End Rd |
|---|---|
| City | South Orange |
| State | New Jersey (NJ) |
| Post Code | 70791445 |
| Phone Number | 9737630991 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2597 |
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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 assigned to Rodger Goddard by the Centers for Medicare & Medicaid Services?
The Rodger Goddard has been issued the NPI (National Provider Identifier) 1689897506, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Rodger Goddard's facilities are geographically located?
The facilities of Rodger Goddard are physically situated at the following location: 359 W End Rd, South Orange, NJ, 70791445.
What is Rodger Goddard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rodger Goddard's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Rodger Goddard receive its 1689897506 assignment from the Centers for Medicare & Medicaid Services?
The Rodger Goddard was assigned its 1689897506 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Rodger Goddard most recently updated or revised?
The details related to Rodger Goddard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.