Gala Patrice Goodwin in Santa Rosa - Clinical
Gala Patrice Goodwin - NPI 1437268166
Gala Patrice Goodwin is a Clinical in Santa Rosa, California. Gala Patrice Goodwin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gala Patrice Goodwin is 1437268166. The last update date is 2007-07-08.
Gala Patrice Goodwin's current location address is 2020 Creekside Rd, Santa Rosa, California. You can contact this provider via phone number 7073601505 and fax number 7075767243. The mailing address for Gala Patrice Goodwin is 2020 Creekside Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gala Patrice Goodwin |
|---|---|
| Address | 2020 Creekside Rd, Santa Rosa, California |
| Phone Number | 7073601505 |
| Fax Number | 7075767243 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1437268166 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 Creekside Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954058019 |
| Phone Number | 7073601505 |
| Fax Number | 7075767243 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15367 |
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What is the unique identifier code issued to Gala Patrice Goodwin by the Centers for Medicare & Medicaid Services?
The Gala Patrice Goodwin has been assigned the NPI (National Provider Identifier) 1437268166. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gala Patrice Goodwin is physically located?
The Gala Patrice Goodwin is situated at the following address: 2020 Creekside Rd, Santa Rosa, CA 954058019.
What is the Gala Patrice Goodwin's area of specialization and corresponding taxonomy classification?
The Gala Patrice Goodwin's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Gala Patrice Goodwin's 1437268166 issued?
The Gala Patrice Goodwin's 1437268166 was issued on 2006-08-29.
When was the Gala Patrice Goodwin's information last updated?
The Gala Patrice Goodwin's information was last updated on 2007-07-08.
NPI Number: 1376546309
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