Healthcare Provider Details

I. General information

NPI: 1417883901
Provider Name (Legal Business Name): PATRICIA A GOODHINES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 WILLIAMS HALL
ORONO ME
04469-5742
US

IV. Provider business mailing address

301 WILLIAMS HALL
ORONO ME
04469-5742
US

V. Phone/Fax

Practice location:
  • Phone: 207-619-2658
  • Fax:
Mailing address:
  • Phone: 207-619-2658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS2576
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: