NPI 1164636965 · live from the CMS NPI Registry
Sage Goodwin
Marriage & Family Therapist in Attleboro, MA. National Provider Identifier 1164636965, active.
NPI record
| NPI | 1164636965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 67 Mechanic St, Attleboro, MA 02703 |
| Practice phone | 508-223-4691 |
| Mailing address | 65 12th St, Providence, RI 02906 |
| Enumerated | May 10, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.