Doctor Name: | MR. LOWELL HERRING GOOD |
NPI Number: | 1033145008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 0904003434 |
Business Practice Address: | 101 Vernon Ave 387/386 Panama City Beach, FL - 324077018 |
Business Phone Number: | 8506367000 |
Business Fax Number: | 8506367061 |
Mailing Address: | 2102 Pentland Rd, LYNN HAVEN |
State: | FL |
Postal Code: | 324445357 |
Phone Number: | 8502772353 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904003434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |