NPI 1215256763

Kristen Fowles Goddard, CADC

Practitioner Genetic Counselor (M.S.) Dover-Foxcroft, ME

Practice location

Address: 897 West Main Street, Dover-Foxcroft, ME 04426
Phone: (207) 564-4110
Fax: (207) 564-4478
Mailing address: 69 High St, Dover Foxcroft, ME 04426-1270

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence CAC3851 (ME)

Other Genetic Counselor, MS providers in Maine →

Registry record

NPI: 1215256763
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2010
Record last updated: 24 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.