Provider Information for 1376602730
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Dr. DONNA GAIL GOODWIN Psy.D.
Sex: Female
NPI: 1376602730
Last Updated: 2018-10-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1376602730 | ||||||||
| Enumeration Date | 2006-12-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 491 HALEIWA, HI 96712-0491 United States Phone: 808-492-6779 | Fax:808-888-0550 | ||||||||
| Primary Practice Address | 66-590 KAMEHAMEHA HWY STE 2G HALEIWA, HI 96712-1484 United States Phone: 808-471-1866 | Fax: | ||||||||
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