Doctor Name: | MS. DARBY DONN GOODSPEED |
NPI Number: | 1326309782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 959 |
Business Practice Address: | 1800 Edinburgh St Rawlins, WY - 823014506 |
Business Phone Number: | 3073248820 |
Business Fax Number: | |
Mailing Address: | Po Box 403, RAWLINS |
State: | WY |
Postal Code: | 823010403 |
Phone Number: | 3073377211 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2012 |
NPI Last Update Date: | 10/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |