Individual
MICHAELE E GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
220 E 54TH ST, SUITE #1C, NEW YORK, NY 10022-4837
(212) 593-5740
Mailing address
34 PERRY AVE, PORT CHESTER, NY 10573-2920
(914) 939-3414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009860
NY
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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