IndividualActive
Glenn Goodwin, PHD
NPI 1346384013 · Clinical Neuropsychologist · Edmonds, WA
Provider details
- NPI number
- 1346384013
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00001999 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
555 Dayton St
Suite E
Edmonds, WA 98020-3601
Phone: (206) 663-0816
Fax: (425) 672-8655
Approximate (ZIP-level) locationGet directions
Mailing address
555 Dayton St
Edmonds, WA 98020-3601
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.