Individual
L SMITH GOODRUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
932 HENDERSONVILLE RD, SUITE 101, ASHEVILLE, NC 28803
(828) 274-1415
(828) 274-9943
Mailing address
932 HENDERSONVILLE RD, SUITE 101, ASHEVILLE, NC 28803
(828) 274-1415
(828) 274-9943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366J
BCBS
NC
01
—
6886164
VALUE OPTIONS
—
Enumeration date
08/04/2006
Last updated
03/05/2008
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