Individual
DR. ROBERT C GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
66 PROSPECT ST, MANCHESTER, NH 03104-3506
(603) 629-9851
Mailing address
66 PROSPECT ST, MANCHESTER, NH 03104-3506
(603) 629-9851
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
334
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083226
—
NH
05
—
80000701
—
NH
Enumeration date
04/06/2006
Last updated
11/16/2013
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