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Contact Information

JOHN P GODFREY, PhD
5750 BALCONES DR STE 106
AUSTIN, TX78731-4268
 Phone: 737-202-5789
 Fax: 737-209-7080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN P GODFREY · (Male)

NPI Number 1023029170
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/11/2006
Last updated 04/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 25101
  • TX Medicaid 040973202
  • TX Other 0003LJ BCBS NUMBER
  • TX Other 97034000 MAGELLAN ID NUMBER
  • TX Other 160306 VALUE OPTIONS
Hospital affiliation(s) Not Available
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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