Individual
DR. KYLE JOSEPH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2737 W FAIRBANKS AVE, WINTER PARK, FL 32789-3314
(407) 740-6838
(407) 740-0902
Mailing address
2737 W FAIRBANKS AVE, WINTER PARK, FL 32789-3314
(407) 740-6838
(407) 740-0902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8144
FL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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