Dr. Susan Windham Goodwyn
Clinical Psychologist
301 Alamo Dr A1
Vacaville
, California 95688-4246
Dr. Susan Windham Goodwyn
Clinical Psychologist
301 Alamo Dr A1
Vacaville
, California 95688-4246
(707) 455-7435
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Susan Windham Goodwyn
- 3358 Mix Canyon Rd
- Vacaville, CA
- Zip : 95688-9012
- Fax : (707) 455-7435
- Phone : (707) 455-8541
Second Address
- Dr. Susan Windham Goodwyn
- 301 Alamo Dr A1
- Vacaville, CA
- Zip : 95688-4246
- Fax : (707) 455-7435
- Phone : (707) 455-8541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY24190 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY24190 | CA |
National Provider Identifier
| NPI | 1003106279 |
|---|---|
| Provider Name | Dr. Susan Windham Goodwyn |
| First Address | Vacaville, CA 95688-9012 |
| Second Address | Vacaville, CA 95688-4246 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2011 |
| Last Update Date | 13/04/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.