| Doctor Name: | MR. ROBERT ALFRED GODFREY |
| NPI Number: | 1033400775 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 0652 |
| Business Practice Address: | 802 Stewart Ave Cumberland, MD - 215023663 |
| Business Phone Number: | 3017225066 |
| Business Fax Number: | |
| Mailing Address: | 802 Stewart Ave, CUMBERLAND |
| State: | MD |
| Postal Code: | 215023663 |
| Phone Number: | 3017225066 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2011 |
| NPI Last Update Date: | 04/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 0652 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |