Individual
DR. DIANE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
515 JAMES ST STE 1, GENEVA, IL 60134-2187
(630) 251-8434
(630) 208-1044
Mailing address
515 JAMES ST, SUITE #1, GENEVA, IL 60134-2173
(630) 251-8434
(630) 208-1044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-002613
IL
103T00000X
Psychologist
Primary
071.008020
IL
Other
Enumeration date
07/12/2006
Last updated
02/15/2011
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