Organization
DON M GOODMAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MITCHELL GOODMAN PH.D. (CLINICAL PSYCHOLOGIST)
(818) 917-4524
Entity
Organization
Contact information
Practice address
123 HODENCAMP RD STE 103, THOUSAND OAKS, CA 91360-5833
(818) 917-4524
(800) 878-7720
Mailing address
123 HODENCAMP RD STE 103, THOUSAND OAKS, CA 91360-5833
(818) 917-4524
(805) 449-2942
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY 22613
CA
103TC0700X
Clinical Psychologist
Primary
PSY 22613
CA
103TH0004X
Health Psychologist
PSY 22613
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 22613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871724518
NPI
CA
Enumeration date
09/25/2009
Last updated
03/11/2024
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