Individual
CARRIE GOODSPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 JEFFERSON STREET, OAKLAND, CA 94612
(510) 923-1099
(510) 350-8793
Mailing address
70 PARKVIEW CT, AMERICAN CANYON, CA 94503-4242
(770) 355-4375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2023
Last updated
09/12/2024
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