Organization
PAUL GODDARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL W GODDARD LPC (THERAPIST)
(215) 964-2420
Entity
Organization
Contact information
Practice address
127 N VAN PELT ST, PHILADELPHIA, PA 19103-1016
(215) 964-2420
(215) 557-0187
Mailing address
127 N VAN PELT ST, PHILADELPHIA, PA 19103-1016
(215) 964-2420
(215) 557-0187
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PC002473
PA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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