Pearlyn Goodman-Herrick, Nd Pc in Westport - Clinical
Pearlyn Goodman-Herrick, Nd Pc - NPI 1336362862
Pearlyn Goodman-Herrick, Nd Pc is a Clinical in Westport, Connecticut. Pearlyn Goodman-Herrick, Nd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pearlyn Goodman-Herrick, Nd Pc is 1336362862. The last update date is 2020-08-22.
Pearlyn Goodman-Herrick, Nd Pc's current location address is 1465 Post Rd E, Westport, Connecticut. You can contact this provider via phone number 2032569091 and fax number 2032569097. The mailing address for Pearlyn Goodman-Herrick, Nd Pc is 1465 Post Rd E, Westport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pearlyn Goodman-Herrick, Nd Pc |
|---|---|
| Address | 1465 Post Rd E, Westport, Connecticut |
| Phone Number | 2032569091 |
| Fax Number | 2032569097 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goodman-Herrick Pearlyn |
| Credentials | ND |
| Telephone Number | 2032569091 |
NPI Number Detail
| NPI Number | 1336362862 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1465 Post Rd E |
|---|---|
| City | Westport |
| State | Connecticut (CT) |
| Post Code | 68805528 |
| Phone Number | 2032569091 |
| Fax Number | 2032569097 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1454 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110000048CT01 | CT | ANTHEM |
Post Comment/ Review Below
What is the Pearlyn Goodman-Herrick, Nd Pc's unique identification number?
The Pearlyn Goodman-Herrick, Nd Pc has been assigned the NPI (National Provider Identifier) Number 1336362862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Pearlyn Goodman-Herrick, Nd Pc's facilities are geographically located?
The facilities of Pearlyn Goodman-Herrick, Nd Pc are physically situated at the following location: 1465 Post Rd E, Westport, CT, 68805528.
What is Pearlyn Goodman-Herrick, Nd Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pearlyn Goodman-Herrick, Nd Pc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336362862 to Pearlyn Goodman-Herrick, Nd Pc?
The Centers for Medicare & Medicaid Services originally issued the 1336362862 to Pearlyn Goodman-Herrick, Nd Pc on 2007-04-11.
When was the information pertaining to Pearlyn Goodman-Herrick, Nd Pc most recently updated or revised?
The details related to Pearlyn Goodman-Herrick, Nd Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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