Doctor Name: | DONITA K GOODIN |
NPI Number: | 1003067430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3863 |
Business Practice Address: | 6100 E Tecumseh Rd Norman, OK - 730262752 |
Business Phone Number: | 4054649536 |
Business Fax Number: | 4053213448 |
Mailing Address: | 6100 E Tecumseh Rd, NORMAN |
State: | OK |
Postal Code: | 730262752 |
Phone Number: | 4054649536 |
Fax Number: | 4053213448 |
NPI Enumeration Date: | 10/03/2008 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |