Individual
DR. JODI LYNN GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1329 APPLEGATE LN, SOUTHERN INDIANA REHABILITATION HOSPTIAL, CLARKSVILLE, IN 47129
(812) 283-5992
(812) 283-7069
Mailing address
1329 APPLEGATE LN, SOUTHERN INDIANA REHABILITATION HOSPITAL, CLARKSVILLE, IN 47129
(812) 283-5992
(812) 283-7069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042191A
IN
103TC0700X
Clinical Psychologist
Primary
20042191A
IN
104100000X
Social Worker
34005066A
IN
1041C0700X
Clinical Social Worker
34005066A
IN
Other
Enumeration date
04/18/2007
Last updated
08/13/2007
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