Laurel B. Goodrich in Knoxville - Clinical
Laurel B. Goodrich - NPI 1679628598
Laurel B. Goodrich is a Clinical in Knoxville, Tennessee. Laurel B. Goodrich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurel B. Goodrich is 1679628598. The last update date is 2007-07-08.
Laurel B. Goodrich's current location address is 1640 W Clinch Ave, Knoxville, Tennessee. You can contact this provider via phone number 8652125299 and fax number 8655254026. The mailing address for Laurel B. Goodrich is 1640 W Clinch Ave, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Laurel B. Goodrich |
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Address | 1640 W Clinch Ave, Knoxville, Tennessee |
Phone Number | 8652125299 |
Fax Number | 8655254026 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1679628598 |
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Provider Enumeration Date | 2007-01-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1640 W Clinch Ave |
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City | Knoxville |
State | Tennessee (TN) |
Post Code | 379162524 |
Phone Number | 8652125299 |
Fax Number | 8655254026 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | P001313 |
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 |
---|---|---|---|
3688924 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Laurel B. Goodrich by the Centers for Medicare & Medicaid Services (CMS)?
The Laurel B. Goodrich has been assigned the NPI (National Provider Identifier) 1679628598. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Laurel B. Goodrich is physically located?
The Laurel B. Goodrich is physically situated at the following address: 1640 W Clinch Ave, Knoxville, TN, 379162524.
What is Laurel B. Goodrich's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Laurel B. Goodrich is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Laurel B. Goodrich receive its 1679628598 assignment from the Centers for Medicare & Medicaid Services?
The Laurel B. Goodrich was assigned its 1679628598 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Laurel B. Goodrich most recently updated or revised?
The information pertaining to Laurel B. Goodrich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.