Goodwin Psychological Services | |
34 W Main St Suite D Hamlet NC 28345-3636 | |
(910) 557-0044 | |
(910) 716-9177 |
Full Name | Goodwin Psychological Services |
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Speciality | Psychologist |
Location | 34 W Main St, Hamlet, North Carolina |
Authorized Official Name and Position | Tanya Goodwin-baldwin (OWNER/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9105570044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Goodwin Psychological Services Po Box 1718 Hamlet NC 28345-1718 Ph: () - | Goodwin Psychological Services 34 W Main St Suite D Hamlet NC 28345-3636 Ph: (910) 557-0044 |
NPI Number | 1760934343 |
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Provider Enumeration Date | 10/28/2016 |
Last Update Date | 11/03/2017 |
Medicare PECOS PAC ID | 6406124270 |
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Medicare Enrollment ID | O20170620001376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760934343 | NPI | - | NPPES |
Provider Name | Tanya Nicole Goodwin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184052953 PECOS PAC ID: 0143500330 Enrollment ID: I20170710000080 |
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