Goodwind, Virginia
Goodwind, Virginia is an sole proprietor health care provider with primary practice located at 200 California Drive Holderman Hospital Medical Staff, Yountville CA 94599-1412. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Goodwind, Virginia can be contacted via phone (510) 717-5703.Contact Information
Primary practice address
200 California Drive Holderman Hospital Medical Staff
Yountville CA 94599-1412
Phone: (510) 717-5703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
| NPI number | 1063661866 |
|---|---|
| LBN Legal business name | Goodwind, Virginia |
| Credentials | DOCTOR OF PSYCHOLOGY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2008 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063661866 | NPPES |
| Other | 106366186 | NATIONAL PROFESSIONAL IDENTIFIER NUMBER |
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