Individual
DR. JAMES KENNETH GOODLAD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5409 MARYLAND WAY, SUITE 202, BRENTWOOD, TN 37027-5037
(615) 373-9955
(615) 373-2001
Mailing address
5409 MARYLAND WAY, SUITE 202, BRENTWOOD, TN 37027-5037
(615) 373-9955
(615) 373-2001
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
1989
AL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3373
TN
Other
Enumeration date
07/13/2016
Last updated
10/28/2016
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