Individual
DR. ROBERT W. GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1990 S BUNDY DR, STE 300, LOS ANGELES, CA 90025-5240
(310) 836-3235
(310) 447-0840
Mailing address
1990 S BUNDY DR, STE 300, LOS ANGELES, CA 90025-5240
(310) 836-3235
(310) 447-0840
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY12516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY12516
MPN
CA
Enumeration date
11/01/2010
Last updated
11/01/2010
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