Individual
DR. TAMARA N GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(678) 235-8767
(855) 740-3001
Mailing address
PO BOX 1742, DECATUR, GA 30031-1742
(678) 235-8767
(855) 740-3001
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY003307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106375B
—
GA
05
—
003106375C
—
GA
Enumeration date
02/23/2011
Last updated
08/13/2022
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