Individual
PAUL GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5701 BURNETT RD, LEAVITTSBURG, OH 44430-9713
(330) 898-0820
(330) 898-6510
Mailing address
5701 BURNETT RD, LEAVITTSBURG, OH 44430-9713
(330) 898-0820
(330) 898-6510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3797
OH
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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