Individual
DAZIALEE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 CHILDRENS PL STE 3N-14, SAINT LOUIS, MO 63110-1002
(314) 454-6069
Mailing address
1 CHILDRENS PL STE 3N-14, SAINT LOUIS, MO 63110-1002
(314) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/06/2025
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