Organization
GOODWIN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA GOODWIN-BALDWIN HSP-P (OWNER/LICENSED PSYCHOLOGIST)
(910) 557-0044
Entity
Organization
Contact information
Practice address
34 W MAIN ST, SUITE D, HAMLET, NC 28345-3636
(910) 557-0044
(910) 716-9177
Mailing address
PO BOX 1718, HAMLET, NC 28345-1718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4762
NC
261QM0850X
Adult Mental Health Clinic/Center
4762
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
4762
NC
Other
Enumeration date
10/28/2016
Last updated
11/03/2017
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