Individual
BARRY AUSTIN GOODFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22042 N 64TH AVE, GLENDALE, AZ 85310-4256
(623) 748-9499
Mailing address
22042 N 64TH AVE, GLENDALE, AZ 85310-4256
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15265
AZ
Other
Enumeration date
03/10/2019
Last updated
03/10/2019
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