Individual
CASEY NICHOLE GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
46 JACKSON PL, HONOLULU, HI 96819-1507
(254) 482-2999
Mailing address
46 JACKSON PL, HONOLULU, HI 96819-1507
(254) 482-2999
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
34740
TX
103TS0200X
School Psychologist
CKG-0108-7506
AL
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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