Doctor Name: | MISS DIANNE C GOODENOUGH |
NPI Number: | 1740484781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | LC6486 |
Business Practice Address: | 1 Hancock St Bar Harbor, ME - 046091714 |
Business Phone Number: | 2072885082 |
Business Fax Number: | 2072887024 |
Mailing Address: | 10 Wayman Ln, P.o. Box 8 BAR HARBOR |
State: | ME |
Postal Code: | 046091625 |
Phone Number: | 2072885082 |
Fax Number: | 2072887024 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 12/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC6486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |