Individual
JEANETTE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
29731 NOVA WOODS DR, FARMINGTON HILLS, MI 48331
(313) 622-6904
(313) 622-6904
Mailing address
29731 NOVA WOODS DR, FARMINGTON HILLS, MI 48331-1996
(313) 622-6904
(313) 622-6904
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009135
MI
174400000X
Specialist
—
—
Other
Enumeration date
09/26/2006
Last updated
07/12/2018
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