Individual
MICHELE PATRICE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 N PITT ST, SUITE 320, ALEXANDRIA, VA 22314-3134
(703) 249-5198
Mailing address
4551 STRUTFIELD LN, APT. 4313, ALEXANDRIA, VA 22311-4967
(703) 501-6101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003579
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000306
DC
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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