Individual
DR. VIRGINIA GOODWIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PSYCHOLOGY
Contact information
Practice address
200 CALIFORNIA DRIVE, HOLDERMAN HOSPITAL MEDICAL STAFF, YOUNTVILLE, CA 94599-1412
(510) 717-5703
Mailing address
PO BOX 396, RUTHERFORD, CA 94573-0396
(510) 717-5703
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106366186
NATIONAL PROFESSIONAL IDENTIFIER NUMBER
—
Enumeration date
09/16/2008
Last updated
02/13/2009
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