Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS WAYNE GOODWIN, LPES
ActiveSchool Psychologist · PENDLETON, SC
Registration Details
- NPI Number
- 1750628939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2013 (13.283277502742 yrs)
- Last Updated
- Sep 18, 2013
- License
-
3046 (SC)
Practice Information
- Address
-
315 E QUEEN STPENDLETON, SC, 296701721Browse SC providers · Browse ZIP 29670
- Phone
- 8644032000
- Fax
- 8644032099
- Primary Specialty
-
School Psychologist
103TS0200X
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.