Goodwin, Elisabeth Megan

Goodwin, Elisabeth Megan is an sole proprietor health care provider with primary practice located at 727 Industrial Rd Ste 104 , San Carlos CA 94070-3390. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodwin, Elisabeth Megan can be contacted via phone (650) 204-1370.

Contact Information

Primary practice address
727 Industrial Rd Ste 104 San Carlos CA 94070-3390
Phone: (650) 204-1370
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 24453 California

Profile Details

NPI number 1538399480
LBN Legal business name Goodwin, Elisabeth Megan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2009
Last updated Apr 3rd, 2015 - about 11 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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