Individual
CHRISTINA L. GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3 COOPER PLZ RM 307, CAMDEN, NJ 08103
(856) 342-2328
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-2924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS01713
RI
103T00000X
Psychologist
Primary
PT191A006
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01713
LICENSE
RI
Enumeration date
11/05/2018
Last updated
05/01/2019
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