Goodwin, Laura Sue

Goodwin, Laura Sue is an sole proprietor health care provider with primary practice located at 4715 Viewridge Ave Ste 230, San Diego CA 92123-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Goodwin, Laura Sue can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
4715 Viewridge Ave Ste 230 San Diego CA 92123-1658
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 608881 Texas

Profile Details

NPI number 1689615197
LBN Legal business name Goodwin, Laura Sue
Credentials RN, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Feb 22nd, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689615197 NPPES
Texas MEDICAID 175547203
Texas MEDICAID 175547202
Texas Other 8N9636

Popular Providers