Individual
LAUREL B. GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1640 W CLINCH AVE, KNOXVILLE, TN 37916-2524
(865) 212-5299
(865) 525-4026
Mailing address
1640 W CLINCH AVE, KNOXVILLE, TN 37916-2524
(865) 212-5299
(865) 525-4026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P001313
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3688924
—
TN
Enumeration date
01/23/2007
Last updated
07/08/2007
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