Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAY TRAVIS GOODIN
Active Sole ProprietorRAY TRAVIS GOODIN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in LAS VEGAS, Nevada. NPI 1023566023 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · LAS VEGAS, NV
Registration Details
- NPI Number
- 1023566023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2016 (9.9471540956286 yrs)
- Last Updated
- Oct 7, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2625 WYANDOTTE ST# 17LAS VEGAS, NV, 891026471Browse NV providers · Browse ZIP 89102
- Phone
- 3134337330
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.