Individual
DR. KRISTEN LEE GODENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
427 W EADS PKWY, LAWRENCEBURG, IN 47025-1139
(812) 537-7375
(812) 537-5271
Mailing address
427 W EADS PKWY, LAWRENCEBURG, IN 47025-1139
(812) 537-7375
(812) 537-5271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2961-57
WI
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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