Provider Demographics
NPI:1578675203
Name:GOODNOW, ANNE CATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CATHERINE
Last Name:GOODNOW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 12TH AVE S
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2513
Mailing Address - Country:US
Mailing Address - Phone:615-474-9883
Mailing Address - Fax:615-269-4324
Practice Address - Street 1:2814 12TH AVE S
Practice Address - Street 2:SUITE 204
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2513
Practice Address - Country:US
Practice Address - Phone:615-474-9883
Practice Address - Fax:615-269-4324
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2442103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7568400OtherAETNA PIN
TN9402888OtherPHCS PIN
TN4107673OtherBLUE CROSS BLUE SHIELD PI
TN53359100OtherMAGELLAN PIN