Individual
MR. LAWRENCE HOWARD GOODENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4448 OAKBRIDGE DR, FLINT, MI 48532-5494
(810) 342-5333
(810) 342-1590
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002469
HEALTH PLUS OF MI
MI
01
—
056350
VALUE OPTIONS
—
01
—
1018118
MCLAREN HEALTH ADVANTAGE
MI
01
—
1306896956
LIST SERVICES GROUP NPI
—
01
—
1962541318
MCLAREN PHD GROUP NPI #
—
01
—
680B512650
BCBSM-BCN-FEP
—
01
—
G96288055
LIST SERVICES MEDICARE ID
—
Enumeration date
11/17/2005
Last updated
06/12/2010
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