Provider Demographics
NPI:1770837627
Name:GOODSON, LINDSEY WALKER (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:WALKER
Last Name:GOODSON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:2319 N 45TH ST
Mailing Address - Street 2:#107
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6982
Mailing Address - Country:US
Mailing Address - Phone:206-679-0021
Mailing Address - Fax:
Practice Address - Street 1:2319 N 45TH ST
Practice Address - Street 2:#107
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6982
Practice Address - Country:US
Practice Address - Phone:206-679-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60672270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA603 239 664OtherUBI
WA603 239 664OtherUBI