| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLY GOODKIN | 1114516820 | 2021-08-20 |
Carly Goodkin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114516820. Registration indicates Carly Goodkin is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Carly Goodkin |
| Practice Office Address | 255 S 17TH ST STE 2100 PHILADELPHIA, PA US |
| Practice Office Telephone | 4844413309 |
| Mailing Address | 255 S 17TH ST STE 2100 PHILADELPHIA, PA 191036211 US |
| Business Telephone | 4844413309 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 122284
CA |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | MF001270
PA |