| Doctor Name: | MS. PATRICE E GOODKIND |
| NPI Number: | 1013992064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LISW |
| License Number: | I-4297 |
| Business Practice Address: | 555 Oppenheimer Dr Suite 200 Los Alamos, NM - 875442384 |
| Business Phone Number: | 5056624663 |
| Business Fax Number: | 5056624637 |
| Mailing Address: | 5040 Carriage House, LOS ALAMOS |
| State: | NM |
| Postal Code: | 875443769 |
| Phone Number: | 5056624637 |
| Fax Number: | 5056624637 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-4297 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |