Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOAQUIM L. GODFREY
Active Sole ProprietorSchool Psychologist · COUNTRY CLUB HILLS, IL
Registration Details
- NPI Number
- 1790295178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2017 (8.5549174536798 yrs)
- Last Updated
- Oct 11, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4036 CAMBRIDGE DRCOUNTRY CLUB HILLS, IL, 604787001Browse IL providers · Browse ZIP 60478
- Phone
- 7087996064
- 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.