Individual
DR. MARILYN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR.SC.HYG., PH.D.
Contact information
Practice address
1864 INDEPENDENCE SQ STE A, DUNWOODY, GA 30338-5160
(770) 434-7916
Mailing address
1314 POPLAR POINTE SE, SMYRNA, GA 30082-2213
(770) 434-7916
(770) 434-7916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
969
GA
Other
Enumeration date
12/25/2006
Last updated
07/08/2007
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