| Michael S Goddard, PSYD | |
|
1323 Se 17th St. Pmb 96041, Ft. Lauderdale, FL 33316 | |
| (516) 456-4142 | |
| Not Available |
| Full Name | Michael S Goddard |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1323 Se 17th St. Pmb 96041, Ft. Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861167413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 06675 (Maryland) | Primary |
| Entity Name | Kennedy Krieger Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871515783 PECOS PAC ID: 1759280597 Enrollment ID: O20031231000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Goddard, PSYD 1629 K St Nw Ste 300, Washington, DC 20006-1631 Ph: (516) 456-4142 | Michael S Goddard, PSYD 1323 Se 17th St. Pmb 96041, Ft. Lauderdale, FL 33316 Ph: (516) 456-4142 |
Dr. Glenn Ross Caddy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 North Federal Highway, Suite 301, Ft. Lauderdale, FL 33306 Phone: 954-565-8850 Fax: 954-565-9860 |
Dr. Donna Hillier, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3301 College Avenue, Ft. Lauderdale, FL 33314 Phone: 844-814-8140 |
Dr. Rita Gugel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1326 S. E. 3rd Avenue, Ft. Lauderdale, FL 33316 Phone: 954-328-9410 |