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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOAQUIM L. GODFREY

Active Sole Proprietor

JOAQUIM L. GODFREY is a School Psychologist healthcare provider located in COUNTRY CLUB HILLS, Illinois. NPI 1790295178 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · COUNTRY CLUB HILLS, IL

Registration Details

NPI Number
1790295178
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2017 (8.8672086683252 yrs)
Last Updated
Oct 11, 2017
Sole Proprietor
Yes

Practice Information

Address
4036 CAMBRIDGE DR
COUNTRY CLUB HILLS, IL, 604787001
Browse 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.