Individual
DR. CAROLYN ELIZABETH GODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCHP-MH
Contact information
Practice address
4231 BALBOA AVE #1256, SAN DIEGO, CA 92117
(917) 873-0759
Mailing address
4231 BALBOA AVE #1256, SAN DIEGO, CA 92117
(917) 873-0759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
019200
NY
103T00000X
Psychologist
Primary
PSY28831
CA
Other
Enumeration date
11/23/2006
Last updated
09/18/2024
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