Provider Demographics
NPI:1619254380
Name:GOODLING, CHRIS (MS)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:GOODLING
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 ROHRERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2319
Mailing Address - Country:US
Mailing Address - Phone:717-509-9875
Mailing Address - Fax:717-509-9876
Practice Address - Street 1:1743 ROHRERSTOWN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2319
Practice Address - Country:US
Practice Address - Phone:717-509-9875
Practice Address - Fax:717-509-9876
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health