Doctor Name: | LYNNE GOLDSMITH |
NPI Number: | 1386836195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LCPC, NCC, MA |
License Number: | CP0026 |
Business Practice Address: | 1559 Watasheamu Rd Washoe Tribal Health Center Gardnerville, NV - 894607455 |
Business Phone Number: | 7752655001 |
Business Fax Number: | 7752655027 |
Mailing Address: | 1559 Watasheamu Rd, Washoe Tribal Health Center GARDNERVILLE |
State: | NV |
Postal Code: | 894607455 |
Phone Number: | 7752655001 |
Fax Number: | 7752655027 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CP0026 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |