Susan Windham Goodwyn PH.D.

NPI 1003106279 - Psychologist - 103TC0700X

NPI Details
NPI 1003106279
Gender Female
Enumeration Date 04/08/2011
Last Updated 04/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
301 ALAMO DR
A1
VACAVILLE CA, 95688-4246, US
Phone (707) 455-8541
Fax (707) 455-7435
Business Location
3358 MIX CANYON RD
VACAVILLE CA, 95688-9012, US
Phone (707) 455-8541
Fax (707) 455-7435
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY24190
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According to our database, Dr. Susan Windham Goodwyn PH.D. NPI is 1003106279, taxonomy code is 103TC0700X and license number is PSY24190, license state is located at California. Susan Windham Goodwyn PH.D. physically located at 301 Alamo Dr, Vacaville CA, 95688-4246. NPI Number Susan Windham Goodwyn PH.D. has the Individual type.

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1003106279 NPI number is provided on an as is basis without warranty of any kind. 1003106279 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Windham Goodwyn PH.D. are for informational purposes only.