Healthcare Provider Details

I. General information

NPI: 1841122983
Provider Name (Legal Business Name): NORA GODDARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 SHERMAN CT
FAIRFIELD CT
06824-5852
US

IV. Provider business mailing address

124 CATHERINE ST
FAIRFIELD CT
06824-5809
US

V. Phone/Fax

Practice location:
  • Phone: 301-717-6932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number46.008728
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: