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Contact Information

TIFFANY N GODWIN, PHD
15411 W WADDELL RD STE 102-1073
SURPRISE, AZ85379-5170
 Phone: 850-739-2332
 Fax: 623-632-0097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TIFFANY N GODWIN · (Female)

NPI # 1528260676
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/01/2007
Last updated 07/13/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # PSY005014
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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