Provider Demographics
NPI:1235462318
Name:GODWIN, CHING-YEN (PHD, NCSP)
Entity Type:Individual
Prefix:DR
First Name:CHING-YEN
Middle Name:
Last Name:GODWIN
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 W DRY CREEK CIR STE 180
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4475
Mailing Address - Country:US
Mailing Address - Phone:720-903-0190
Mailing Address - Fax:303-794-7811
Practice Address - Street 1:26 W DRY CREEK CIR STE 180
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4475
Practice Address - Country:US
Practice Address - Phone:720-903-0190
Practice Address - Fax:303-794-7811
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0344933103TS0200X
CO3384103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool