Goodwin, Dazialee
Goodwin, Dazialee is an individual health care provider with primary practice located at 1 Childrens Pl Ste 3N-14 , Saint Louis MO 63110-1002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Goodwin, Dazialee can be contacted via phone (314) 454-6069.Contact Information
Primary practice address
1 Childrens Pl Ste 3N-14
Saint Louis MO 63110-1002
Phone: (314) 454-6069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1194491480 |
|---|---|
| LBN Legal business name | Goodwin, Dazialee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2021 |
| Last updated | Aug 18th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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