Individual
DR. RODGER GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
359 W END RD, SOUTH ORANGE, NJ 07079-1445
(973) 763-0991
Mailing address
359 W END RD, SOUTH ORANGE, NJ 07079-1445
(973) 763-0991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2597
NJ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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