Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY DENVER GOODELL JR., PSY.D.
Active Sole ProprietorDR. BRADLEY DENVER GOODELL JR., PSY.D. is a Counselor healthcare provider located in SHOREVIEW, Minnesota. NPI 1124365234 is currently active in the NPPES registry. Verify at CMS.
Counselor · SHOREVIEW, MN
Registration Details
- NPI Number
- 1124365234
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2013 (13.571591388297 yrs)
- Last Updated
- Jan 9, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 HIGHWAY 96 WSUITE 400SHOREVIEW, MN, 551261944Browse MN providers · Browse ZIP 55126
- Phone
- 6512431513
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| MELANIE HAYNES | LGSW | 1184346611 |
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.