Individual
DR. ELISABETH MEGAN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
727 INDUSTRIAL RD STE 104, SAN CARLOS, CA 94070-3390
(650) 204-1370
Mailing address
PO BOX 1124, BURLINGAME, CA 94011-1124
(831) 277-3852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY 24453
CA
Other
Enumeration date
07/24/2009
Last updated
04/03/2015
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