| Doctor Name: | DR. AMY GOODSON |
| NPI Number: | 1083870570 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1420 |
| Business Practice Address: | 210 Black Gold Blvd Arh Bariatric Services, Suite 102 Hazard, KY - 417012603 |
| Business Phone Number: | 6064391331 |
| Business Fax Number: | 6064396629 |
| Mailing Address: | 102 Medical Center Dr, Arh Psychiatric Center HAZARD |
| State: | KY |
| Postal Code: | 417019421 |
| Phone Number: | 6064396819 |
| Fax Number: | 6064396629 |
| NPI Enumeration Date: | 08/04/2008 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |