Goodwin, Priscilla Anne

Goodwin, Priscilla Anne is an individual health care provider with primary practice located at 1710 S 74Th St , Mesa AZ 85209-4136. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Goodwin, Priscilla Anne can be contacted via phone (480) 981-5555.

Contact Information

Primary practice address
1710 S 74Th St Mesa AZ 85209-4136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5102 Arizona

Profile Details

NPI number 1669528949
LBN Legal business name Goodwin, Priscilla Anne
Credentials PROF. FOSTER HOME
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 9th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669528949 NPPES
Arizona Other 5102 PROF. FOSTER HOME

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