Provider Demographics
NPI:1427083591
Name:GOODKIN, FRANKLIN (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:GOODKIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ENGREM AVE
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4519
Mailing Address - Country:US
Mailing Address - Phone:802-747-6660
Mailing Address - Fax:
Practice Address - Street 1:44 ENGREM AVE
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4519
Practice Address - Country:US
Practice Address - Phone:802-747-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT773103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2087522OtherCIGNA BEHAVIORAL HEALTH
VT58284OtherBCBS OF VERMONT