Healthcare Provider Details

I. General information

NPI: 1255301115
Provider Name (Legal Business Name): FRANKIE J. GODWIN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 TOWN PLAZA CT
WINTER SPRINGS FL
32708-6206
US

IV. Provider business mailing address

1806 TOWN PLAZA CT
WINTER SPRINGS FL
32708-6206
US

V. Phone/Fax

Practice location:
  • Phone: 407-695-3664
  • Fax: 407-695-3674
Mailing address:
  • Phone: 407-695-3664
  • Fax: 407-695-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY5312
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: