Individual
MS. CHRISTINE MISKINIS GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
2359 HIGHWAY 105, BOONE, NC 28607-7814
(828) 265-5391
(828) 265-5394
Mailing address
2359 HIGHWAY 105, BOONE, NC 28607-7814
(828) 265-5391
(828) 265-5394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1446
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046MA
BLUE CROSS BLUE SHEILD
NC
Enumeration date
03/19/2007
Last updated
12/15/2008
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