Most Relevant Information
Provider Data
| NPI Number: | 1003336975 |
| Provider Name: | BETH GOODRICH LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 35001963A |
Most Important Dates
| Enumeration Date: | 06/22/2017 |
| Last Updated: | 06/16/2018 |
Provider Practice Location
1431 N DELAWARE ST
INDIANAPOLIS
IN
462022416
Practice Location Phone/Fax
| Phone: | 3175367100 |
| Fax: | 3175367101 |
Provider Mailing Location
1431 N DELAWARE ST
INDIANAPOLIS
IN
462022416
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |