Individual
MR. MICHAEL W GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
576 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 781-6485
(413) 788-6925
Mailing address
576 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 781-6485
(413) 788-6925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7023
MA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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