Doctor Name: | MRS. SUZANNE MICHELLE GOODE |
NPI Number: | 1861677619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.R.C. |
License Number: | |
Business Practice Address: | 101 Preston Mckay Dr Senatobia, MS - 386682351 |
Business Phone Number: | 6625625216 |
Business Fax Number: | 6625625230 |
Mailing Address: | 152 Highway 7 S, OXFORD |
State: | MS |
Postal Code: | 386555392 |
Phone Number: | 6622347521 |
Fax Number: | 6622363071 |
NPI Enumeration Date: | 12/28/2007 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |