Individual
DR. DANA F GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1315 WALNUT STREET, SUITE 1700, PHILADELPHIA, PA 19107
(215) 925-5456
(215) 545-8496
Mailing address
1315 WALNUT STREET, SUITE 1700, PHILADELPHIA, PA 19107
(215) 925-5456
(215) 545-8496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0686465000
PERSONAL CHOICE
—
01
—
7323085
AETNA
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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