Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH |
NPI | 1083139802 |
---|---|
Provider Name | Allison Goodnight |
First Address | Lewis Center, OH 43035-8002 |
Second Address | Lewis Center, OH 43035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2017 |
Last Update Date | 14/08/2017 |