Overview
Name: MS. PATRICIA DIANE GODWIN LCSW
Specialty: Mental Health Counselor
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers
Classification: Counselor
Specialization: Mental Health.
Definition of Specialty: Definition to come…
License & NPI
License #(s): 278496-3501, , , ,
License State(s): UT, , , ,
Addresses
Practice Location: 7050 HIGHLAND DR,SUITE 300-B,SALT LAKE CITY,UT,841213749,US
Mailing Address: 7050 HIGHLAND DR,SUITE 300-B,SALT LAKE CITY,UT,841213749,US
Contact #
Practice location phone #: 8019440938
Practice location fax #: 8019440948
Mailing address Phone #: 8019440938
Mailing Address fax #: 8019440948
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/19/2005
Last data data was updated: 07/08/2007
Insurances: