Vicki Goodman

NPI 1003237991 - Counselor - 101Y00000X

NPI Details
NPI 1003237991
Gender Female
Enumeration Date 12/19/2013
Last Updated 12/19/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
619 N 500 W
PROVO UT, 84601-1547, US
Phone (801) 420-0465
Fax (801) 375-4241
Business Location
619 N 500 W
PROVO UT, 84601-1547, US
Phone (801) 420-0465
Fax (801) 375-4241
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Vicki Goodman NPI is 1003237991, taxonomy code is 101Y00000X Vicki Goodman physically located at 619 N 500 W, Provo UT, 84601-1547. NPI Number Vicki Goodman has the Individual type.

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1003237991 NPI number is provided on an as is basis without warranty of any kind. 1003237991 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Goodman are for informational purposes only.