Individual
ELVIE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2250 SOQUEL AVE, SUITE 100, SANTA CRUZ, CA 95062-1402
(831) 600-2800
Mailing address
2250 SOQUEL AVE, SUITE 100, SANTA CRUZ, CA 95062-1402
(831) 600-2800
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
38128
CA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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