TYRONE GOODSON CRPA - NPI 1699347252 - Peer Specialist in Buffalo, NY

Q: What is Tyrone Goodson's NPI number?

The NPI number for Tyrone Goodson is 1699347252. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Q: What is Tyrone Goodson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyrone Goodson was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tyrone Goodson Crpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRONE GOODSON CRPA (NPI 1699347252) is an individual peer specialist in Buffalo, New York, licensed in New York (5123) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1699347252

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameTYRONE GOODSONCredential: CRPA

Location Address69 LINWOOD AVEBuffalo, NY 14209-2203

Mailing Address69 Linwood AveBuffalo, NY 14209-2203 · (716) 424-0021

Phone(716) 424-0021

Sole ProprietorYes

Enumeration DateJuly 13, 2021

NPPES CertifiedJuly 13, 2021

✔ NPI 1699347252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NY · 5123

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

69 LINWOOD AVE, Buffalo, NY 14209

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