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Contact Information

ANDREW W GODDARD, MD
2210 E ILLINOIS AVE STE 401
FRESNO, CA93701-2184
 Phone: 559-320-0580
 Fax: 559-320-0582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ANDREW W GODDARD · (Male)

NPI Number 1346294725
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 01/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C132659
  • IN Medicaid 200355710
Hospital affiliation(s)
  • COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA - (Acute Care)
    23625 W R HOLMAN HIGHWAY
    MONTEREY, CA 93940
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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