Individual
DIANA GOODSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
731 VALUE RIDGE AVE, HENDERSON, NV 89012-5313
(702) 684-1741
Mailing address
731 VALUE RIDGE AVE, HENDERSON, NV 89012-5313
(702) 684-1741
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
412855
NM
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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