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Individual

PATRICIA ROGERS GOODYEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
117 W ANTRIM DR, GREENVILLE, SC 29607-2505
(864) 313-5669
Mailing address
117 W ANTRIM DR, GREENVILLE, SC 29607-2505
(864) 313-5669

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
529
SC

Other

Enumeration date
10/28/2017
Last updated
10/28/2017
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