Goddard, Megan

Goddard, Megan is an sole proprietor health care provider with primary practice located at 3655 Bonita Beach Rd Suite 2, Bonita Springs FL 34134-4199. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goddard, Megan can be contacted via phone (239) 495-7722.

Contact Information

Primary practice address
3655 Bonita Beach Rd Suite 2 Bonita Springs FL 34134-4199
Phone: (239) 495-7722
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW8338 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13332 Florida

Profile Details

NPI number 1760874358
LBN Legal business name Goddard, Megan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2015
Last updated Oct 24th, 2018 - about 8 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 1760874358 NPPES
Florida Other 1699152553 BUSINESS NPI
Florida Other 1760874358 BUSINESS NPI
Florida MEDICAID 012914900 BUSINESS NPI

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