| Doctor Name: | KATIE A GOODHUE |
| NPI Number: | 1083908586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, P.C.C |
| License Number: | |
| Business Practice Address: | 35104 Euclid Ave Suite 305 Willoughby, OH - 440944516 |
| Business Phone Number: | 4407250443 |
| Business Fax Number: | |
| Mailing Address: | 7431 Noble Ct, MENTOR |
| State: | OH |
| Postal Code: | 440605256 |
| Phone Number: | 4407251442 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2011 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |